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NPI Code Detail

MEDICARE: HUIPING BOUCHER

MEDICARE: HUIPING BOUCHER
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
1363L00000XNurse PractitionerNP95022791CA

General Provider Information

NPI Number : 1740986918
Entity Type Code : Individual
Provider Name (Legal Business Name) : HUIPING BOUCHER
Provider Business Mailing Address
First Line : 1974 SANTA FE AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90810-4064
Country : US
Telephone Number : 562-595-9766
Fax Number :
Provider Business Practice Location Address
First Line : 1974 SANTA FE AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90810-4064
Country : US
Telephone Number : 562-595-9766
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2023
Last Update Date : 01/31/2023

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Directions to “ HUIPING BOUCHER ” Practice Location

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