Healthcare Provider Details

I. General information

NPI: 1912219213
Provider Name (Legal Business Name): LORILEE BOHN DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LORI BOHN DC, RN, PMHNP

II. Dates (important events)

Enumeration Date: 07/02/2010
Last Update Date: 08/01/2025
Certification Date: 08/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23822 MARMARA BAY
DANA POINT CA
92629-4411
US

IV. Provider business mailing address

25226 CABOT RD
LAGUNA HILLS CA
92653-5504
US

V. Phone/Fax

Practice location:
  • Phone: 415-505-9311
  • Fax:
Mailing address:
  • Phone: 949-274-9972
  • Fax: 949-276-3091

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95036583
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95023907
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number29279
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: