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Physician Compare National (NPI:1790930139)

HEALTHCARE PROVIDER: ANTHONY L BOCCHINO

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1790930139
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 7416013750
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20090610000188
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name BOCCHINO
Individual professional last name
Provider First Name ANTHONY
Individual professional first name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name CLEVELAND CHIROPRACTIC COLLEGE - LOS ANGELES
Individual professional's medical school
Graduation Year 1987
Individual professional's medical school graduation year
Primary Specialty CHIROPRACTIC
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 17897 MACARTHUR BLVD
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 101
Group Practice or individual's line 2 address
City IRVINE
Group Practice or individual's city
State CA
Group Practice or individual's state
Zip Code 926140532
Group Practice or individual's zip code (9 digits when available)
Phone Number 9492519355
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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