Individual
BOBAK THOMAS POUSTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
655 EUCLID AVE STE 304, NATIONAL CITY, CA 91950-2974
(619) 267-8303
(619) 267-4835
Mailing address
8899 UNIVERSITY CENTER LN STE 350, SAN DIEGO, CA 92122-1010
(858) 657-8322
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
1932736451
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
03/25/2020
Last updated
06/11/2024
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