Eddie Boquilla
Rehabilitation Practitioner
3125 N Broadway
Los Angeles
, California 90031-2703
Eddie Boquilla
Rehabilitation Practitioner
3125 N Broadway
Los Angeles
, California 90031-2703
(323) 222-4614
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About
Features
Specialties
- Rehabilitation Practitioner
Languages spoken
- English
Location
First Address
- Eddie Boquilla
- 3125 N Broadway
- Los Angeles, CA
- Zip : 90031-2703
- Fax : (323) 222-4614
- Phone : (323) 222-4591
Second Address
- Eddie Boquilla
- 3125 N Broadway
- Los Angeles, CA
- Zip : 90031-2703
- Fax : (323) 222-4614
- Phone : (323) 222-4591
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner |
National Provider Identifier
| NPI | 1043402977 |
|---|---|
| Provider Name | Eddie Boquilla |
| First Address | Los Angeles, CA 90031-2703 |
| Second Address | Los Angeles, CA 90031-2703 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/08/2007 |
| Last Update Date | 14/08/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.