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NPI Code Detail

MEDICARE: DR. CHLOE ANNE BOMBERGER M.D.

MEDICARE:  DR. CHLOE ANNE BOMBERGER  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
1208D00000XGeneral Practice Physician01060011AIN

General Provider Information

NPI Number : 1447222633
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHLOE ANNE BOMBERGER M.D.
Provider Business Mailing Address
First Line : 2939 LAUREL ST
Second Line : APT 302
City : SAN DIEGO
State : CA
Zip : 92104-5451
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 19821 MITSCHER WAY
Second Line :
City : SAN DIEGO
State : CA
Zip : 92145-5103
Country : US
Telephone Number : 858-577-9849
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2006
Last Update Date : 07/08/2007

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Directions to “ DR. CHLOE ANNE BOMBERGER M.D.” Practice Location

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