Individual
BROC R BOCHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2655 CAMINO DEL RIO N STE 450, SAN DIEGO, CA 92108-1603
(619) 633-4115
Mailing address
2655 CAMINO DEL RIO N STE 450, SAN DIEGO, CA 92108-1603
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
05/02/2026
Last updated
05/02/2026
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