Judy Lynn Bourget, MD

General Practice Physician · Dana Point, CA

Individual Active NPI

NPI number 1073593240

Practice location

34052 La PLZ
Suite 104
Dana Point, CA 92629-2587
Phone
(949) 429-8760
Fax
(949) 429-6909

Open in Google Maps

NPI record

NPI
1073593240
Entity type
Individual (Type 1)
Enumeration date
January 22, 2006
Last updated
February 3, 2010
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Physician Primary 208D00000X G72076 CA
Surgery Physician 208600000X G72076 CA

About Dr. Bourget

Judy Lynn Bourget, MD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Physician (code 208D00000X). The practice location is 34052 La PLZ, Suite 104, Dana Point, CA 92629-2587. The NPI number 1073593240 was assigned on January 22, 2006 and the record was last updated on February 3, 2010.

Dr. Bourget lists 2 licenses in the registry: #G72076 (CA) for General Practice Physician; #G72076 (CA) for Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Judy Lynn Bourget, MD?

The NPI number is 1073593240.

What is the phone number of Dr. Bourget?

The phone number listed for the practice location is (949) 429-8760.

Where is Dr. Bourget located?

34052 La PLZ, Suite 104, Dana Point, CA 92629-2587.

What is the taxonomy code for Dr. Bourget?

The primary taxonomy code is 208D00000X – General Practice Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other General Practice Physician providers in Dana Point

All General Practice Physician providers in Dana Point, CA →