Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL BOESE
Active Sole ProprietorMICHAEL BOESE is a Assisted Living Facility healthcare provider located in LODI, California. NPI 1619747276 is currently active in the NPPES registry. Verify at CMS.
Assisted Living Facility · LODI, CA
Registration Details
- NPI Number
- 1619747276
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 4, 2024 (2.6266678306669 yrs)
- Last Updated
- Jan 4, 2024
- License
-
397005496 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1330 W WALNUT STLODI, CA, 952423025Browse CA providers · Browse ZIP 95242
- Phone
- 9165243521
- Primary Specialty
-
Assisted Living Facility
310400000X
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.