Bouch Medical Corporation
Bouch Medical Corporation provides General Practice Registered Nurse services in Sebastopol, California. Licensed in California. Registered with an NPI since 2015.
- Licensed in
- CA
- In the registry since
- 2015
- Specialties on file
- 6
Practice location Address checks out
435 Petaluma Ave Ste 150Sebastopol, CA 95472-4273 Not confirmed with CMS for 11 years — call before visiting
Phone: (707) 861-7300
Fax: (707) 823-8568
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X · Licence G35969 (CA) |
|---|---|
| General Practice Registered Nurse | Taxonomy 163WG0000X · Licence 393692 (CA) |
| Neuromusculoskeletal Medicine & OMM Physician | Taxonomy 204D00000X · Licence 20A9470 (CA) |
| Internal Medicine Physician | Taxonomy 207R00000X · Licence G55518 (CA) |
| General Practice Physician | Taxonomy 208D00000X · Licence ND-353 (CA) |
| General Practice Physician | Taxonomy 208D00000X · Licence ND-613 (CA) |
Record details
| NPI number | 1720467962 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Summer Begin — Practice Manager · (707) 861-7300 |
| Other names | Hill Park Medical Center |
| NPI enumerated | May 20, 2015 |
| Last updated in NPPES | May 20, 2015 |
| Mailing address | 435 Petaluma Ave Ste 150, Sebastopol, CA 95472-4273 |