Individual
EDWARD BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-6054
(888) 378-4524
Mailing address
PO BOX 51342, LOS ANGELES, CA 90051-5642
(714) 456-6054
(888) 378-4524
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
95002079
CA
Other
Enumeration date
01/25/2016
Last updated
01/25/2016
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