| Bowman Medical Group | |
|
9777 Wilshire Blvd Ste. 707 Beverly Hills CA 90212-1910 | |
| (310) 276-4003 | |
| Not Available |
| Full Name | Bowman Medical Group |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 9777 Wilshire Blvd, Beverly Hills, California |
| Authorized Official Name and Position | Phillip James Bowman (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3102764003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bowman Medical Group 9777 Wilshire Blvd Ste. 707 Beverly Hills CA 90212-1910 Ph: () - | Bowman Medical Group 9777 Wilshire Blvd Ste. 707 Beverly Hills CA 90212-1910 Ph: (310) 276-4003 |
| NPI Number | 1780864298 |
|---|---|
| Provider Enumeration Date | 11/13/2007 |
| Last Update Date | 07/17/2009 |
| Medicare PECOS PAC ID | 3577543099 |
|---|---|
| Medicare Enrollment ID | O20090722000099 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780864298 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP0016X | Psychologist - Prescribing (medical) | (* (Not Available)) | Secondary |
| 2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | A73152 (California) | Primary |
| Provider Name | Phillip J Bowman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295702710 PECOS PAC ID: 4183604606 Enrollment ID: I20040726000904 |
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