Organization
TVFM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURENCE HENRY BOGGELN M.D. (OWNER/CEO)
(951) 676-8868
Entity
Organization
Contact information
Practice address
28999 OLD TOWN FRONT ST, SUITE 104, TEMECULA, CA 92590-5805
(951) 676-8868
(951) 676-9619
Mailing address
28999 OLD TOWN FRONT ST, SUITE 104, TEMECULA, CA 92590-5805
(951) 676-8868
(951) 676-9619
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
G49322
CA
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
G49322
CA
Other
Enumeration date
07/10/2013
Last updated
07/10/2013
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