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NANCY SUMIRE BOERNER M.D.

>> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1154416451

Individual Registrant:
 NANCY SUMIRE BOERNER M.D.
Gender: F
Sole Proprietor

Location and contact information for practice:
31872 COAST HWY  LAGUNA BEACH, CA 92651-6773 US
Tel: 949-499-7645  Fax: 949-499-7532

Contact information for business:
28821 VIA BUENA VISTA  SAN JUAN CAPISTRANO, CA 92675-5556 US
Tel: 949-499-7645  Fax: 949-489-9981

Registration Information:
NPI: 1154416451
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207R00000XAllopathic & Osteopathic Physicians
Internal Medicine
CAA044509

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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