Organization
JUDY L BOURGET MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDY L BOURGET MD (OWNER)
(949) 429-8760
Entity
Organization
Contact information
Practice address
34052 LA PLZ, STE 104, DANA POINT, CA 92629-2587
(949) 429-8760
(949) 429-6909
Mailing address
34052 LA PLZ, STE 104, DANA POINT, CA 92629-2587
(949) 429-8760
(949) 429-6909
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G72076
CA
Other
Enumeration date
08/16/2010
Last updated
08/16/2010
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