Type | Person | [sources] | |||
---|---|---|---|---|---|
Name | John Edwin Bohm | [sources] | |||
Birth date | not available | [sources] | |||
Nationality | not available | [sources] | |||
Country | United States of America | [sources] | |||
First name | John | [sources] | |||
Last name | Bohm | [sources] | |||
Middle name | Edwin | [sources] | |||
Registration number | 00A517410 · GR0080581 · GR0080582 · GR0080583 · GR0080584 · | [sources] | |||
Sector | Physician | [sources] | |||
Address | 10694 Magnolia Ave., Riverside, CA · 275 W. Hospitality Ln. , Ste. #106, San Bernardino, CA · 4270 Lincoln Blvd., Marina Del Rey, CA · 4836 Van Nuys Blvd., Sherman Oaks, CA · 4900 Barranca Pkwy., Ste. #104, Irvine, CA · | [sources] | |||
Last change | Last processed | First seen |
Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.
United States of America · DHCS
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