Katherine Boehm, DO
Family Medicine, Sports Medicine in San Diego, CA. Individual provider (NPI-1).
NPI number1497375232
StatusActive
Last updated in NPPESOct 31, 2024
Details
- NPI
- 1497375232
- Entity type
- Individual (NPI-1)
- Name
- Katherine Boehm
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 22, 2020
- Certification date
- Oct 25, 2024
- Last updated
- Oct 31, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QS0010X | Family Medicine, Sports Medicine | 20A20113 | CA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
6699 Alvarado RdSuite 2100
San Diego, CA 92120
Phone 619-229-3909
Mailing address
6699 Alvarado RdSuite 2100
San Diego, CA 92120
Phone 619-229-3909
Other practice locations
147 N Brent St
Ventura, CA 93003-2809
Ventura, CA 93003-2809
Phone 805-948-5672
2800 E Ajo Way Ste 200
Tucson, AZ 85713-6204
Tucson, AZ 85713-6204
Phone 520-694-8000 · Fax 520-874-9001
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