Provider Demographics
NPI:1154613925
Name:BOJORQUEZ MEDICAL BILLING MGMT INC
Entity type:Organization
Organization Name:BOJORQUEZ MEDICAL BILLING MGMT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:
Authorized Official - Last Name:BOJORQUEZ
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:619-326-0610
Mailing Address - Street 1:3655 31ST ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92104-4203
Mailing Address - Country:US
Mailing Address - Phone:619-326-0610
Mailing Address - Fax:619-326-0617
Practice Address - Street 1:3655 31ST ST
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92104-4203
Practice Address - Country:US
Practice Address - Phone:619-326-0610
Practice Address - Fax:619-326-0617
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-11
Last Update Date:2011-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA24026338251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA=========OtherINDIVIDUAL TAXPAYER IDENTIFICATION NUMBER