Healthcare Provider Details
I. General information
NPI: 1679772404
Provider Name (Legal Business Name): APRIL JOY BARIUAN BOCO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/12/2007
Last Update Date: 01/10/2022
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1900 DRESDEN DR
LINCOLN CA
95648-8803
US
IV. Provider business mailing address
1900 DRESDEN DR
LINCOLN CA
95648-8803
US
V. Phone/Fax
- Phone: 916-543-5500
- Fax:
- Phone: 916-543-5500
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | N7675 |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | A120123 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: