MEDICARE: MR. WILLIAM FRANK BOWMAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	G45323	CA

General Provider Information

NPI Number	:	1134102338
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. WILLIAM FRANK BOWMAN M.D.

Provider Business Mailing Address
First Line	:	11 TECHNOLOGY DR
Second Line	:
City	:	IRVINE
State	:	CA
Zip	:	92618-2302
Country	:	US
Telephone Number	:	949-923-3277
Fax Number	:	855-812-5865

Provider Business Practice Location Address
First Line	:	5977 E SPRING ST
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90808-3752
Country	:	US
Telephone Number	:	562-421-3727
Fax Number	:	562-420-8948

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/22/2005
Last Update Date	:	10/13/2015

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