NPI 1629350079

Nancy K Bohl, INC

Organisation Preferred Provider Organization San Bernardino, CA

Practice location

Address: 1881 Business Center Dr STE 11, San Bernardino, CA 92408-3438
Phone: (909) 884-0133
Mailing address: PO Box 10427, San Bernardino, CA 92423-0427

Authorised official

Name: Julie Koot
Title: Cfo
Phone: (909) 884-0133

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

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Registry record

NPI: 1629350079
Entity type: Organization
NPI issued: 12 Sep 2011
Record last updated: 28 Nov 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.