Edtna Bogarin, is a
Rehabilitation Practitioner based in Los Angeles, California. Edtna Bogarin is licensed to practice in California (license number ) and her current practice location is
5110 W Goldleaf Cir, Los Angeles, California. She can be reached at her office (for appointments etc.) via phone at
(213) 407-5598.
NPI number for Edtna Bogarin is 1699030833 and her current mailing address is 5110 W Goldleaf Cir Fl 2, Los Angeles, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1699030833.
Healthcare Provider's Profile
| Full Name | Edtna Bogarin |
|---|
| Gender | Female |
|---|
| Speciality | Rehabilitation Practitioner |
|---|
| Location | 5110 W Goldleaf Cir, Los Angeles, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1699030833
- Provider Enumeration Date: 07/12/2012
- Last Update Date: 04/16/2025
Medical Identifiers
Medical identifiers for Edtna Bogarin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1699030833 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 106H00000X | Marriage & Family Therapist | 69143 (California) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (California) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Secondary |
| 225400000X | Rehabilitation Practitioner | (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Edtna Bogarin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Edtna Bogarin, 5110 W Goldleaf Cir Fl 2, Los Angeles, CA 90056-1282 Ph: (213) 407-5598 | Edtna Bogarin, 5110 W Goldleaf Cir, Los Angeles, CA 90056-1282 Ph: (213) 407-5598 |
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