Healthcare Provider Details

I. General information

NPI: 1174465538
Provider Name (Legal Business Name): DHEER BOLE
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2026
Last Update Date: 04/07/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10666 N TORREY PINES RD
LA JOLLA CA
92037-1027
US

IV. Provider business mailing address

45343 ONONDAGA DR
FREMONT CA
94539-6742
US

V. Phone/Fax

Practice location:
  • Phone: 858-295-3054
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License NumberRPH91223
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: