Jackie Bolds

NPI 1356497101 · on the registry since 2007 · sole proprietor

Practice

Address: 6066 Civic Terrace Ave
Newark, CA 94560
Phone: (510) 505-1600
Fax: (510) 494-7240
Organisation at this address: Alameda Health System
Alameda Health System
Alameda Health System
Alameda Health System
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 14

Registry record

Primary taxonomy: 261QM1300X
261QM1300X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

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