Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EDILITA DE BODA, PAC
Active Sole ProprietorEDILITA DE BODA, PAC is a Medical Physician Assistant healthcare provider located in HARBOR CITY, California. NPI 1982892956 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · HARBOR CITY, CA
Registration Details
- NPI Number
- 1982892956
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 4, 2007 (18.837203138708 yrs)
- Last Updated
- May 6, 2008
- License
-
PA 15259 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1535 LOMITA BLVDHARBOR CITY, CA, 907102024Browse CA providers · Browse ZIP 90710
- Phone
- 3105309300
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in HARBOR CITY, CA
| Name | Credential | NPI |
|---|---|---|
| MR. LAURENCE MARION RICK | PA-C | 1134276041 |
| MS. LORRAINE ANNA COLACION OLSON | PA-C | 1518018183 |
| MRS. MADONNA CHAN | PA-C | 1710038815 |
| MS. KAREN KINCEY | PA-C | 1134272032 |
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.