Bolsa Medical Group
Surgery in Westminster, CA. Organization (NPI-2).
NPI number1992732192
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1992732192
- Entity type
- Organization (NPI-2)
- Legal business name
- Bolsa Medical Group
- Organization subpart
- No
- Enumeration date
- Jun 26, 2006
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | – | – | Yes |
| 207Q00000X | Family Medicine | – | – | |
| 207R00000X | Internal Medicine | – | – | |
| 207V00000X | Obstetrics & Gynecology | – | – | |
| 208000000X | Pediatrics | – | – |
Practice location
10362 Bolsa AveWestminster, CA 92683-6763
Phone 714-531-2091 · Fax 714-531-1403
Mailing address
10362 Bolsa AveWestminster, CA 92683-6763
Phone 714-531-2091 · Fax 714-531-1403
Authorized official
Co D C Pham
President
7145312091
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