Search › California › 101YA0400X
Jose Bolanos
NPI 1457563470 · on the registry since 2007 · sole proprietor
Practice
- Address
- 2116 N Frederic St
18646 Oxnard St
Burbank, CA 91504 - Phone
- (818) 953-8926
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-10-10
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