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: MS. THERESA ROSE BOHUN M.D.

MEDICARE: MS. THERESA ROSE BOHUN 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
1207R00000XInternal Medicine PhysicianG77440CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1952585978OTHERCACHAMPUS
2G77440OTHERCABLUE CROSS
3G77440OTHERCAPPO/COMM
4G77440OTHERCAHMO
5006774400OTHERARBLUE SHIELD
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770677247
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. THERESA ROSE BOHUN M.D.
Provider Business Mailing Address
First Line : 3260 3RD AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92103-5616
Country : US
Telephone Number : 619-297-3737
Fax Number : 619-297-0443
Provider Business Practice Location Address
First Line : 3260 THIRD AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92103-1323
Country : US
Telephone Number : 619-297-3737
Fax Number : 619-297-0443
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2006
Last Update Date : 03/12/2012

Similar Medicare Providers

1699150656 — LAURA GRACE SPRACHER
Practice Location Address:
7850 MISSION CENTER CT STE 100
SAN DIEGO, CA
92108-1323
Practice Phone: 805-708-1663
Practice Fax:
1598124612 — ADDIE'S AUTISMFITT CLUB
Practice Location Address:
7850 MISSION CENTER CT STE 100
SAN DIEGO, CA
92108-1323
Practice Phone: 619-578-2232
Practice Fax:
1942664537 — ALICIA AMSBERRY
Practice Location Address:
7850 MISSION CENTER CT STE 100
SAN DIEGO, CA
92108-1323
Practice Phone: 619-578-2232
Practice Fax:
1124577697 — KATHERINE GRUBERT
Practice Location Address:
7850 MISSION CENTER CT STE 100
SAN DIEGO, CA
92108-1323
Practice Phone: 619-578-2232
Practice Fax:
1992256804 — ADDIE'S AUTISM FITT
Practice Location Address:
7850 MISSION CENTER CT STE 100
SAN DIEGO, CA
92108-1323
Practice Phone: 619-578-2232
Practice Fax: 619-578-2231
1205375607 — JASMINE OU OTR/L
Practice Location Address:
7850 MISSION CENTER CT STE 100
SAN DIEGO, CA
92108-1323
Practice Phone: 619-578-2232
Practice Fax:

Directions to “ MS. THERESA ROSE BOHUN M.D.” 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.