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Dr. Thomas Paul Bogaard, MD
Specialist in Los Angeles, California
NPI 1861438004

Thomas Paul Bogaard is a Specialist based in Sierra Madre, CA. Thomas Paul Bogaard practices in Los Angeles, CA and has the professional credentials of MD. The NPI Number for Thomas Paul Bogaard is 1861438004 and holds a License No. G21222 (California).

The current practice location address for Thomas Paul Bogaard is 1401 S Grand Ave, Los Angeles, CA and can be reached out via phone at 213-802-0100 and via fax at 626-795-3229.

Location: 1401 S Grand Ave, Los Angeles, CA, 91025-4004
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861438004
Provider Name
Thomas Paul Bogaard
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1401 S Grand Ave, Los Angeles, CA, 91025-4004
Phone Number
213-802-0100
Fax Number
626-795-3229
Provider Enumeration Date
06/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G21220 05 CA
RHD113967 01 CA X-RAY LC
00G21220 01 CA CCS
05D0726009 01 CA CLIA NO
institution
Provider Business Practice Location Address Details
Address
1401 S Grand Ave
City
Los Angeles
State
California
Zip
90015-3010
Phone Number
213-802-0100
Fax Number
626-795-3229
person
Provider Business Mailing Address Details
Address
1401 S Grand Ave
City
Los Angeles
State
California
Zip
90015-3010
Phone Number
213-802-0100
Fax Number
626-795-3229
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G21222 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
G21222 (California)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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