DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: GLEN BOUSCHER MSW

MEDICARE: GLEN BOUSCHER MSW
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
1104100000XSocial Worker

General Provider Information

NPI Number : 1548286008
Entity Type Code : Individual
Provider Name (Legal Business Name) : GLEN BOUSCHER MSW
Provider Business Mailing Address
First Line : 5901 E 7TH ST
Second Line :
City : LONG BEACH
State : CA
Zip : 90822-5201
Country : US
Telephone Number : 562-826-8474
Fax Number :
Provider Business Practice Location Address
First Line : 2090 RIVER AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90810-3621
Country : US
Telephone Number : 562-826-8474
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2006
Last Update Date : 07/11/2007

Similar Medicare Providers

1396845111 — MRS. HEATHER L SANDERS RN
Practice Location Address:
2090 RIVER AVE
LONG BEACH, CA
90810-3621
Practice Phone: 562-826-8472
Practice Fax:
1205927852 — MR. RANDALL HOWARD YOUNG RW0182
Practice Location Address:
2090 RIVER AVE
LONG BEACH, CA
90810-3621
Practice Phone: 562-826-8475
Practice Fax:
1538250006 — MR. RONALD BRIAN KUZIN
Practice Location Address:
2090 RIVER AVE
LONG BEACH, CA
90810-3621
Practice Phone: 562-826-8469
Practice Fax: 562-388-7900
1265523872 — MRS. MARTHA LEE BAIRD
Practice Location Address:
2090 RIVER AVE
LONG BEACH, CA
90810-3621
Practice Phone: 562-826-8000
Practice Fax: 562-388-7900
1477645406 — MR. PATRICK NICHOLSON
Practice Location Address:
2090 RIVER AVE
LONG BEACH, CA
90810-3621
Practice Phone: 562-826-8480
Practice Fax:
1245560556 — MISS PRINCESS D COLEMAN
Practice Location Address:
6139 GAVIOTA AVE
LONG BEACH, CA
90805-3621
Practice Phone: 562-507-6575
Practice Fax:

Directions to “ GLEN BOUSCHER MSW” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.