| Christopher Drake Boss, RD | |
|
1509 Pleasant Ave Unit 7, Los Angeles, CA 90033-2385 | |
| (714) 312-8241 | |
| Not Available |
| Full Name | Christopher Drake Boss |
|---|---|
| Gender | Male |
| Speciality | Dietitian, Registered |
| Location | 1509 Pleasant Ave Unit 7, Los Angeles, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154083467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86278099 (California) | Primary |
| Provider Name | Bamboo Nutrition Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1164917282 PECOS PAC ID: 4789014986 Enrollment ID: O20200429002902 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher Drake Boss, RD 1509 Pleasant Ave Unit 7, Los Angeles, CA 90033-2385 Ph: (714) 312-8241 | Christopher Drake Boss, RD 1509 Pleasant Ave Unit 7, Los Angeles, CA 90033-2385 Ph: (714) 312-8241 |
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