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

Michael Boese

Individual provider Assisted Living Facility · NPI 1619747276

Michael Boese is an Assisted Living Facility in Lodi, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

1330 W Walnut St
Lodi, CA 95242-3025
Phone: (916) 524-3521
Show map & directions

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

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence 397005496 (CA)

Record details

NPI number1619747276
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 4, 2024
Last updated in NPPESJanuary 4, 2024
Certification dateJanuary 4, 2024
Mailing address2750 E Collier Rd, Acampo, CA 95220-9201

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