Philip Gregory Bohart
Orthopaedic Surgeon
15525 Pomerado Rd Suite A-1
Poway
, California 92064-2435
Philip Gregory Bohart
Orthopaedic Surgeon
15525 Pomerado Rd Suite A-1
Poway
, California 92064-2435
(858) 485-9510
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About
Features
Specialties
- Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Philip Gregory Bohart
- 15525 Pomerado Rd Suite A-1
- Poway, CA
- Zip : 92064-2435
- Fax : (858) 485-9510
- Phone : (858) 485-0050
Second Address
- Philip Gregory Bohart
- 15525 Pomerado Rd Suite A-1
- Poway, CA
- Zip : 92064-2435
- Fax : (858) 485-9510
- Phone : (858) 485-0050
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgeon | G28742 | CA |
National Provider Identifier
| NPI | 1033223425 |
|---|---|
| Provider Name | Philip Gregory Bohart |
| First Address | Poway, CA 92064-2435 |
| Second Address | Poway, CA 92064-2435 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/08/2006 |
| Last Update Date | 05/11/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00G287420 | (05) | CA |
| A91151 | (02) | CA |
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.