Individual
TEODORA NIKOLAEVA BOCHNAKOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10666 N TORREY PINES RD, LA JOLLA, CA 92037-1027
(858) 554-2626
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(858) 554-2626
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
273368
MA
2085R0202X
Diagnostic Radiology Physician
C205064
CA
2085R0202X
Diagnostic Radiology Physician
Primary
MD193283
OR
2085R0204X
Vascular & Interventional Radiology Physician
Primary
C205064
CA
2085R0204X
Vascular & Interventional Radiology Physician
MD193283
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/14/2013
Last updated
01/26/2026
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