| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | John Edwin Bohm | [sources] | |||
| Alias | John E. Bohm M.D., Inc. | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | John | [sources] | |||
| Last name | Bohm | [sources] | |||
| Middle name | Edwin | [sources] | |||
| Registration number | 00A517410 · A51741 · GR0080581 · GR0080582 · GR0080583 · | [sources] | |||
| Sector | Physician | [sources] | |||
| Address | 5267 Warner Avenue, #341, Huntington Beach, CA 92649 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.
United States · DHCS
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