Robert Boucher, PA

Physician Assistant · Downey, CA

Individual Active NPI

NPI number 1144364340

Practice location

7601 Imperial Hwy
Downey, CA 90242-3456
Phone
(562) 803-0124
Fax
(562) 803-5569

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NPI record

NPI
1144364340
Entity type
Individual (Type 1)
Enumeration date
February 19, 2007
Last updated
July 9, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X PA14340 CA

Mailing address

PO Box 30220
Los Angeles, CA 90030-0220
Phone
(562) 803-0124
Fax
(562) 803-5569

About Robert Boucher

Robert Boucher, PA is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 7601 Imperial Hwy, Downey, CA 90242-3456. The NPI number 1144364340 was assigned on February 19, 2007 and the record was last updated on July 9, 2007.

Robert Boucher lists a license in the registry: #PA14340 (CA) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Robert Boucher, PA?

The NPI number is 1144364340.

What is the phone number of Robert Boucher?

The phone number listed for the practice location is (562) 803-0124.

Where is Robert Boucher located?

7601 Imperial Hwy, Downey, CA 90242-3456.

What is the taxonomy code for Robert Boucher?

The primary taxonomy code is 363A00000X – Physician Assistant.

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.

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