TVFM, Inc.

Primary specialty

Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X

License

G49322 Issued in CA

Legal business name

TVFM, INC.

Practice address

28999 Old Town Front St
Suite 104
Temecula, CA 92590-5805

Phone

(951) 676-8868

Fax

(951) 676-9619

NPI assigned

Jul 10, 2013

Last updated

Jul 10, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Laurence Henry Boggeln, M.D.

Title

Owner/Ceo

Phone

(951) 676-8868

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373414400000",
    "number": "1508207234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28999 OLD TOWN FRONT ST",
            "address_2": "SUITE 104",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905805",
            "telephone_number": "951-676-8868",
            "fax_number": "951-676-9619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28999 OLD TOWN FRONT ST",
            "address_2": "SUITE 104",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905805",
            "telephone_number": "951-676-8868",
            "fax_number": "951-676-9619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TVFM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-10",
        "last_updated": "2013-07-10",
        "status": "A",
        "authorized_official_last_name": "BOGGELN",
        "authorized_official_first_name": "LAURENCE",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "951-676-8868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G49322",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "CA",
            "license": "G49322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hospice and Palliative Medicine (Family Medicine) Physician in Temecula, CA
• Providers in Temecula, CA by specialty
• Hospice and Palliative Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.