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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