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Bolsa Medical Group — NPI 1720423833, Westminster, CA | NPI Central

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NPI 1720423833

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Bolsa Medical Group

NPI 1720423833 · Non-Pharmacy Dispensing Site · Westminster, CA

Provider details

NPI number: 1720423833
Entity type: Organization
Primary specialty: Non-Pharmacy Dispensing SiteSuppliers
Parent organization: Medvantx, Inc,
Organization subpart: Yes
Authorized official: Kenny Heine, Vp of Operations(858) 964-1506
License: A70808 (CA)

Specialties & taxonomies

Non-Pharmacy Dispensing SitePrimary332900000XLicense A70808 (CA)
Suppliers

Practice location

10362 Bolsa Ave

Suite 110

Westminster, CA 92683-6763

Phone: (714) 531-2091

Approximate (ZIP-level) locationGet directions

More CA providers

Mailing address

5626 Oberlin Dr

San Diego, CA 92121-1705

Other names (DBA / former)

Doing business as: Bolsa Medical Group

Registry dates

Enumerated: 2013-05-02
Last updated: 2013-05-02

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.