Individual
MRS. ABHA M BOSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
9300 CAMPUS POINT DR, LA JOLLA, CA 92037-1300
(800) 926-8273
Mailing address
FILE 57326, LOS ANGELES, CA 90074-0001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA16657
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629067053
MEDICARE NPI
CA
Enumeration date
10/18/2005
Last updated
12/05/2024
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