Individual
DR. DENIS BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3751 KATELLA AVE, LOS ALAMITOS, CA 90720-3101
(714) 826-6400
(562) 799-3121
Mailing address
DEPT LA 21758, PASADENA, CA 91185-1758
(949) 263-8620
(949) 263-1639
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
20A7689
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX76890
—
CA
01
—
020A76890
BS
CA
Enumeration date
09/28/2006
Last updated
06/05/2008
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