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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

HALEY MARLENE BOGDANOVICH, PA-C

Active Sole Proprietor

HALEY MARLENE BOGDANOVICH, PA-C is a Physician Assistant healthcare provider located in LOS ANGELES, California. NPI 1891285995 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · LOS ANGELES, CA

Registration Details

NPI Number
1891285995
Provider Type
Individual
Gender
Female
NPI Issued
May 14, 2018 (8.4566557558623 yrs)
Last Updated
May 5, 2021
License
55920 (CA)
Sole Proprietor
Yes

Practice Information

Address
637 MAPLE AVE
LOS ANGELES, CA, 900142211
Browse CA providers · Browse ZIP 90014
Phone
2134348990
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in LOS ANGELES, CA

Name Credential NPI
MR. DANIEL PARK P.A. 1538162631
DOMINICK A D'ANTUONO PA-C 1801898341
MS. CARMEL NICHOLE RAPHAEL PA 1801883038
MR. JOHNNY-AN THANH PHAM PA C 1457332504
MISS JOVANA BALKIS PA-C 1235116039
NGOC DUNG NGUYEN P.A.-C 1518931476
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.