| Doctor Name: | DR. GHASSAN E. BOGHOSIAN |
| NPI Number: | 1255479044 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DO |
| License Number: | 20A-11166 |
| Business Practice Address: | 45280 Seeley Dr 2nd Floor La Quinta, CA - 922536834 |
| Business Phone Number: | 7605682684 |
| Business Fax Number: | 7608372238 |
| Mailing Address: | Po Box 1730, RANCHO MIRAGE |
| State: | CA |
| Postal Code: | 922701058 |
| Phone Number: | 7605682684 |
| Fax Number: | 7608372238 |
| NPI Enumeration Date: | 02/02/2007 |
| NPI Last Update Date: | 12/31/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207XS0114X |
| License Number: | 20A-11166 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Orthopaedic Surgery |
| Taxonomy Specialization: | Adult Reconstructive Orthopaedic Surgery |
| Taxonomy Definition: | Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |