Individual provider · NPI-1

Brian J. W. Boyd, M.D.

· Orange, CA

NPI number1932242302
StatusActive
Last updated in NPPESMar 14, 2011

Details

NPI
1932242302
Entity type
Individual (NPI-1)
Name
Mr. Brian J. W. Boyd
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Feb 15, 2007
Last updated
Mar 14, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208VP0000X G59654CAYes
2084N0400X Psychiatry & Neurology, NeurologyG59654CA

Practice location

1140 West La Veta
Ste 410
Orange, CA 92868-4226

Phone 714-285-0615 · Fax 714-285-0619

Mailing address

1140 West La Veta
Ste 410
Orange, CA 92868-4226

Phone 714-285-0615 · Fax 714-285-0619

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