Search › California › 106H00000X
Su Boudreau
NPI 1336535210 · on the registry since 2015
Practice
- Address
- 1140 Wall St # 355
La Jolla, CA 92037 - Phone
- (858) 218-0863
Additional practice sites
- 892 27th St, San Diego, CA
Registry record
- Primary taxonomy
- 106H00000X
106H00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-09-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California