NPI 1194908327
Terri Lynne Bourgeois
Practice location
- Address
- 1725 Main Street, Santa Monica, CA 90401
- Phone
- (310) 260-3583
- Fax
- (310) 395-7971
- Mailing address
- 9150 Imperial Highway Room P31, Downey, CA 90242
Registered specialties
Case Management Agency
Primary
Registry record
- NPI
- 1194908327
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 11 Dec 2007
- Record last updated
- 11 Dec 2007
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.