| Patricia Ann Bogema Do Inc | |
|
341 Magnolia Ave Suite 207 Corona CA 92879-3330 | |
| (951) 734-9930 | |
| Not Available |
| Full Name | Patricia Ann Bogema Do Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 341 Magnolia Ave, Corona, California |
| Authorized Official Name and Position | Patricia Ann Bogema (OWNER) |
| Authorized Official Contact | 9517349930 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia Ann Bogema Do Inc 341 Magnolia Ave Suite 207 Corona CA 92879-3330 Ph: (951) 734-9930 | Patricia Ann Bogema Do Inc 341 Magnolia Ave Suite 207 Corona CA 92879-3330 Ph: (951) 734-9930 |
| NPI Number | 1922312404 |
|---|---|
| Provider Enumeration Date | 07/27/2010 |
| Last Update Date | 07/27/2010 |
| Medicare PECOS PAC ID | 8426173998 |
|---|---|
| Medicare Enrollment ID | O20100921000905 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922312404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 20A9148 (California) | Primary |
| Provider Name | Patricia Ann Bogema |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407891617 PECOS PAC ID: 9436153319 Enrollment ID: I20060907000267 |
| Provider Name | Jennifer Rae Seguancia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285058073 PECOS PAC ID: 3072983246 Enrollment ID: I20230104001096 |
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