Individual
JOSE RAUL BOLANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15899 LOS GATOS ALMADEN RD #4, LOS GATOS, CA 95032-3739
(408) 358-8801
(408) 356-6781
Mailing address
15899 LOS GATOS ALMADEN RD #4, LOS GATOS, CA 95032-3739
(408) 358-8801
(408) 356-6781
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G52463
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G524630
—
CA
Enumeration date
07/14/2006
Last updated
07/08/2007
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