Organization
MARY BOS, D.O., A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATTI RIVERA (BILLING MANAGER)
(951) 719-3330
Entity
Organization
Contact information
Practice address
1200 ROSECRANS AVE, STE 110, MANHATTAN BEACH, CA 90266-2462
(424) 220-4415
Mailing address
PO BOX 1007, MURRIETA, CA 92564-1007
(951) 719-3330
(951) 296-6741
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
20A7009
CA
Other
Enumeration date
03/17/2016
Last updated
03/17/2016
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