Individual
ANDREW BOURGEOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2975 SYCAMORE DR, SIMI VALLEY, CA 93065-1201
(805) 955-6100
Mailing address
2975 SYCAMORE DR, SIMI VALLEY, CA 93065-1201
(805) 955-6100
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4301090563
MI
207P00000X
Emergency Medicine Physician
Primary
A111526
CA
207P00000X
Emergency Medicine Physician
MD60237865
WA
Other
Enumeration date
06/29/2007
Last updated
02/27/2013
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