Individual
MARIA INES BOECHAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10833 LE CONTE AVE, LOS ANGELES, CA 90095-3075
(310) 301-6800
Mailing address
5767 W CENTURY BLVD, SUITE 200, LOS ANGELES, CA 90045-5632
(310) 301-6800
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A42822
CA
2085R0204X
Vascular & Interventional Radiology Physician
A42822
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A428220
—
CA
Enumeration date
05/09/2006
Last updated
04/05/2010
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