Individual
NICHOLE BOSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 W CARSON STREET BLDG D-9, HARBOR UCLA, TORRANCE, CA 90502
(917) 513-6038
Mailing address
15221 MAGNOLIA BLVD, UNIT E, SHERMAN OAKS, CA 91403-1126
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
A115510
CA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
A115510
CA
Other
Enumeration date
10/18/2007
Last updated
01/10/2012
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