Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bolsa Medical Group

Organization Non-Pharmacy Dispensing Site · NPI 1720423833

Bolsa Medical Group is a Non-Pharmacy Dispensing Site in Westminster, California. Licensed in California. Registered with an NPI since 2013.

Licensed in
CA
In the registry since
2013

Practice location Address checks out

10362 Bolsa Ave Ste 110
Westminster, CA 92683-6763
Phone: (714) 531-2091
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X · Licence A70808 (CA)

Record details

NPI number1720423833
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMedvantx, Inc
Authorized official Kenny Heine — Vp Of Operations · (858) 964-1506
Other names Bolsa Medical Group
NPI enumeratedMay 2, 2013
Last updated in NPPESMay 2, 2013
Mailing address5626 Oberlin Dr, Suite 110, San Diego, CA 92121-1705

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