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NPI Code Detail

MEDICARE: NIDIA BOSWELL

MEDICARE: NIDIA BOSWELL
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
11041C0700XClinical Social WorkerCA

General Provider Information

NPI Number : 1932997921
Entity Type Code : Individual
Provider Name (Legal Business Name) : NIDIA BOSWELL
Provider Business Mailing Address
First Line : 2320 PASEO DE LAS AMERICAS STE 200
Second Line :
City : SAN DIEGO
State : CA
Zip : 92154-5201
Country : US
Telephone Number : 909-750-4223
Fax Number :
Provider Business Practice Location Address
First Line : 2320 PASEO DE LAS AMERICAS STE 200
Second Line :
City : SAN DIEGO
State : CA
Zip : 92154-5201
Country : US
Telephone Number : 909-750-4223
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2025
Last Update Date : 06/02/2026

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Directions to “ NIDIA BOSWELL ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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