Boasberg, Peter D
Boasberg, Peter D is an individual health care provider with primary practice located at 2001 Santa Monica Blvd Ste 560W, Santa Monica CA 90404-2102. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Boasberg, Peter D can be contacted via phone (310) 582-7900.Contact Information
Primary practice address
2001 Santa Monica Blvd Ste 560W
Santa Monica CA 90404-2102
Phone: (310) 582-7900
Fax: (310) 582-7946
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | G20643 | California |
Profile Details
| NPI number | 1417982331 |
|---|---|
| LBN Legal business name | Boasberg, Peter D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Mar 7th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417982331 | NPPES |
| California | Other | G20643 | MEDICAL LICENSE |
| California | Other | W15185A | MEDICAL LICENSE |
| California | Other | W15185 | MEDICAL LICENSE |
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