Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACKIE A BOLDS
Active Sole ProprietorDR. JACKIE A BOLDS is a Multi-Specialty Clinic healthcare provider located in NEWARK, California. NPI 1356497101 is currently active in the NPPES registry. Verify at CMS.
Multi-Specialty Clinic · NEWARK, CA
Registration Details
- NPI Number
- 1356497101
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 26, 2007 (19.567245260327 yrs)
- Last Updated
- Jul 8, 2007
- License
-
G57227 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6066 CIVIC TERRACE AVENEWARK, CA, 94560Browse CA providers · Browse ZIP 94560
- Phone
- 5105051600
- Fax
- 5104947240
- Primary Specialty
-
Multi-Specialty Clinic
261QM1300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.