BOLSA MEDICAL GROUP NPI 1992732192

NPI Information

  • NPI: 1992732192
  • Provider Name: BOLSA MEDICAL GROUP
  • Classification: Surgery - 208600000X
  • Entity Type: Organization
  • Address: 10362 BOLSA AVE
    WESTMINSTER, CA
    ZIP 92683
  • Phone: (714) 531-2091

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NPI Details

BOLSA MEDICAL GROUP is a surgery in Westminster, CA. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. BOLSA MEDICAL GROUP NPI is 1992732192. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10362 BOLSA AVE
WESTMINSTER, CA
ZIP 92683-763
Phone: (714) 531-2091
Fax: (714) 531-1403

The provider's authorized official is Co D C Pham .
The authorized official title is President and has the following contact phone number (714) 531-2091.

The enumeration date for this NPI number is 6/26/2006 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineNo
3207V00000XObstetrics & GynecologyNo
4208000000XPediatricsNo
5208600000XSurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1GR0061390MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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