Individual provider · Type 1 NPI

Matthew J. Bosse, MD

Specialist · Los Angeles, CA

NPI number 1245239714 Active

Practice location

1625 Schrader Blvd, 3rd Floor
Los Angeles, CA 90028-6213

Call (323) 993-7500 Map

Fax (323) 308-4015

Mailing address

PO Box 1168
Los Angeles, CA 90078-1168

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XA75483 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1245239714

Matthew J. Bosse, MD's National Provider Identifier is 1245239714, issued on Jul 18, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 13, 2026.