Provider Demographics
NPI:1164719829
Name:BOSCHI, FLORIAN ALEXANDER (MSOM)
Entity Type:Individual
Prefix:MR
First Name:FLORIAN
Middle Name:ALEXANDER
Last Name:BOSCHI
Suffix:
Gender:M
Credentials:MSOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1062 S ROBERTSON BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90035-1505
Mailing Address - Country:US
Mailing Address - Phone:310-279-3841
Mailing Address - Fax:
Practice Address - Street 1:1062 S ROBERTSON BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90035-1505
Practice Address - Country:US
Practice Address - Phone:310-279-3841
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-01
Last Update Date:2011-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9889171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist