| Dr Laurence Henry Boggeln, M D | |
|
27720 Jefferson Ave Ste 200, Temecula, CA 92590-2630 | |
| (800) 797-2050 | |
| (951) 848-9500 |
| Full Name | Dr Laurence Henry Boggeln |
|---|---|
| Gender | Male |
| Speciality | Family Medicine - Hospice And Palliative Medicine |
| Location | 27720 Jefferson Ave Ste 200, Temecula, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992701080 | NPI | - | NPPES |
| G49322 | Other | CA | MEDICAL BOARD OF CALIFORNIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G4922 (California) | Secondary |
| 207QH0002X | Family Medicine - Hospice And Palliative Medicine | G49322 (California) | Primary |
| Entity Name | Elizabeth Supportive Medical Specialists A Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154861979 PECOS PAC ID: 3971880055 Enrollment ID: O20170426002596 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Laurence Henry Boggeln, M D 27720 Jefferson Ave Ste 200, Temecula, CA 92590-2630 Ph: (800) 797-2050 | Dr Laurence Henry Boggeln, M D 27720 Jefferson Ave Ste 200, Temecula, CA 92590-2630 Ph: (800) 797-2050 |
Omid Zebarjadi, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 27699 Jefferson Ave Ste 305, Temecula, CA 92590 Phone: 951-503-8730 Fax: 714-410-0369 | |
Dr. Jay A. Ferns, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 29738 Rancho California Rd, Suite B, Temecula, CA 92591 Phone: 951-308-1822 Fax: 951-699-6734 | |
Anita Cal Jackson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 44274 George Cushman Ct Ste 212, Temecula, CA 92592 Phone: 951-694-4688 Fax: 888-827-3492 | |
Dr. Robert Ryan Torres Casten, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 27309 Madison Ave, Temecula, CA 92590 Phone: 866-984-7483 | |
Dr. Ibrahim Rahman, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 31700 Temecula Pkwy Ste 1, Temecula, CA 92592 Phone: 951-331-2527 | |
Dr. M Kathy Mcdonald, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 31493 Rancho Pueblo Rd, Suite # 107, The Mcdonald Clinic, Inc., Temecula, CA 92592 Phone: 951-303-3337 Fax: 951-303-2810 | |
Dr. Walter Floyd Combs Jr., MD Family Medicine Medicare: Medicare Enrolled Practice Location: 28780 Single Oak Dr, Suite 160, Temecula, CA 92590 Phone: 951-676-4193 Fax: 951-719-1469 |