Organization
THE BOULDIN FOUNDATION LLC
Active
Organization
THE BOULDIN FOUNDATION LLC
Active
Other names
The Bouldin Foundation
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADAM NOAH BOULDIN MD (FOUNDER)
(657) 825-5321
Entity
Organization
Contact information
Practice address
13712 CHARLEVILLE DR, WESTMINSTER, CA 92683-3207
(657) 825-5321
(706) 222-4741
Mailing address
13712 CHARLEVILLE DR, WESTMINSTER, CA 92683-3207
(657) 825-5321
(706) 222-4741
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/29/2025
Last updated
05/29/2025
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