Search › California › 363A00000X
Bogdan Ristic
NPI 1609463538 · on the registry since 2020 · sole proprietor
Practice
- Address
- 139 Fremont Ct
Hercules, CA 94547 - Phone
- (510) 318-1537
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 390200000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-10-18
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