Mary Bos, D.O., a Medical Corporation

Primary specialty

Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X

License

20A7009 Issued in CA

Legal business name

MARY BOS, D.O., A MEDICAL CORPORATION

Practice address

1200 Rosecrans Ave
Ste 110
Manhattan Beach, CA 90266-2462

Phone

(424) 220-4415

NPI assigned

Mar 17, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Patti Rivera

Title

Billing Manager

Phone

(951) 719-3330

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1458172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458172800000",
    "number": "1922469915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1007",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925641007",
            "telephone_number": "951-719-3330",
            "fax_number": "951-296-6741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 ROSECRANS AVE",
            "address_2": "STE 110",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662462",
            "telephone_number": "424-220-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY BOS, D.O., A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-17",
        "last_updated": "2016-03-17",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "PATTI",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "951-719-3330",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "CA",
            "license": "20A7009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Crystal Markley, AMFT, CTP, LMFT
• Nikole Markow
• Susmitha Marneni, DDS
• Octavio Marquez Montoya, ATC
• Reed Maruyama, AMFT, AT
• Maryam Bakhtiyari, D.D.S Professional Dental Corp
• Camille Garcia Marzan, DC
• Emily E Masi, FNP-BC; PMHNP-BC
• Christian Mata
• Rincy Mathew, LMFT

• Orthopaedic Hand Surgery Physician in Manhattan Beach, CA
• Providers in Manhattan Beach, CA by specialty
• Orthopaedic Hand Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; 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.