Individual
NICHOLAS EDWARD BOHRER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
655 EUCLID AVE STE 304, NATIONAL CITY, CA 91950-2974
(619) 267-8303
(619) 267-4835
Mailing address
5222 BALBOA AVE FL 5, SAN DIEGO, CA 92117-6904
(619) 267-8303
(619) 267-4835
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4053
CA
207NP0225X
Pediatric Dermatology Physician
A182042
CA
Other
Enumeration date
03/20/2019
Last updated
11/18/2025
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