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BOHRDOM LLC
NPI 1104542679
Student in an Organized Health Care Education/Training Program in Orange, CA

Active since October 17, 2022
265 S ANITA DR, ORANGE, CA 92868(949) 233-8119 Get Directions Write a Review

NPPES record last updated: March 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 2, 2026, Oct 17, 2022 (2 updates tracked since 2022).

About Bohrdom Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOHRDOM LLC (NPI 1104542679) is a healthcare organization registered as a student in an organized health care education/training program in Orange, California and active in the NPI registry since October 2022. The organization lists Benjamin Charles Rager Bohrer, Owner/operator, as its authorized official.

NPPES Registry Identity

NPI1104542679
Entity TypeOrganization
Primary Taxonomy390200000X
Legal Business NameBOHRDOM LLC
Location Address265 S ANITA DROrange, CA 92868-3355
Mailing Address265 S Anita DrOrange, CA 92868-3355 · (949) 233-8119
Phone(949) 233-8119
Organization SubpartNo
Authorized OfficialBenjamin Charles Rager BohrerOwner/operator · (951) 404-4380
Enumeration DateOctober 17, 2022
Last NPPES UpdateMarch 2, 20262 updates tracked since enumeration
NPPES CertifiedMarch 2, 2026
✔ NPI 1104542679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedCommunity Health WorkerTaxonomy 172V00000X
265 S ANITA DR, Orange, CA 92868
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SHARATH KUMAR ELIAS RENIGUNTALA M.D.
General Practice
265 S ANITA DR
ORANGE, CA 92868
Orange County (949) 531-6344
KEN SANGBOEM KIM
Counselor (Addiction (Substance Use Disorder))
265 S ANITA DR
ORANGE, CA 92868
Orange County (949) 439-6109
DENA MARIE VALENZUELA
Counselor (Addiction (Substance Use Disorder))
265 S ANITA DR
ORANGE, CA 92868
Orange County (949) 749-2603
ANDREW SHULENBERGER
Counselor (Addiction (Substance Use Disorder))
265 S ANITA DR
ORANGE, CA 92868
Orange County (657) 933-4101
ARIALA DECK
Counselor (Addiction (Substance Use Disorder))
265 S ANITA DR
ORANGE, CA 92868
Orange County (949) 749-2500
MS. ROLA JREISAT CADC 11-CA
Counselor (Addiction (Substance Use Disorder))
265 S ANITA DR
ORANGE, CA 92868
Orange County (562) 241-8669
MYDEA JONES
Counselor (Addiction (Substance Use Disorder))
265 S ANITA DR
ORANGE, CA 92868
Orange County (949) 749-2500
EMUAN OMOYEMEN IHENYEN
Counselor (Addiction (Substance Use Disorder))
265 S ANITA DR
ORANGE, CA 92868
Orange County (949) 749-2500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bohrdom LLC's NPI number?

The NPI number for Bohrdom LLC is 1104542679. It was assigned to this organization in the NPPES registry on October 17, 2022.

Where is Bohrdom LLC located?

Bohrdom LLC is located at 265 S Anita Dr, Orange, CA 92868. The listed phone number is (949) 233-8119.

What is Bohrdom LLC's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Bohrdom LLC was last updated on March 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.