Joe Anthony Bolanos
Joe Anthony Bolanos is a Physician Assistant in Los Angeles, California. Qualified in 2022, 4 years ago. Practices with Exer Medical Corporation, a 333-clinician group and accepts Medicare assignment.
- Years since qualifying
- 4
- In the registry since
- 2022
Practice location Address checks out
1731 E 120th StLos Angeles, CA 90059-3051
Phone: (323) 562-4800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|
Record details
| NPI number | 1750037552 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 1, 2022 |
| Last updated in NPPES | March 1, 2022 |
| Certification date | March 1, 2022 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Exer Medical Corporation — 333 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 5 on file with Medicare |
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