Individual
DR. LAURENCE HENRY BOGGELN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
27720 JEFFERSON AVE STE 200, TEMECULA, CA 92590-2630
(800) 797-2050
(951) 848-9500
Mailing address
27720 JEFFERSON AVE STE 200, TEMECULA, CA 92590-2630
(800) 797-2050
(951) 848-9500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
G4922
CA
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
G49322
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G49322
MEDICAL BOARD OF CALIFORNIA
CA
Enumeration date
06/23/2005
Last updated
02/20/2018
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