Richard Steven Bodaness
Dermatologist
2328 Coalinga Ct
Claremont
, California 91711-1753
Richard Steven Bodaness
Dermatologist
2328 Coalinga Ct
Claremont
, California 91711-1753
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Richard Steven Bodaness
- Po Box 813
- Claremont, CA
- Zip : 91711-0813
- Phone :
Second Address
- Richard Steven Bodaness
- 2328 Coalinga Ct
- Claremont, CA
- Zip : 91711-1753
- Phone : (909) 489-1922
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | G54952 | CA |
National Provider Identifier
| NPI | 1013277565 |
|---|---|
| Provider Name | Richard Steven Bodaness |
| First Address | Claremont, CA 91711-0813 |
| Second Address | Claremont, CA 91711-1753 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/05/2012 |
| Last Update Date | 17/05/2012 |
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.