Healthcare Provider Details

I. General information

NPI: 1982058673
Provider Name (Legal Business Name): BRITTNI ALLISON JOHNSON BOYD M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRITTNI ALLISON JOHNSON M.D.

II. Dates (important events)

Enumeration Date: 04/19/2016
Last Update Date: 10/06/2023
Certification Date: 10/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99 N LA CIENEGA BLVD STE M102
BEVERLY HILLS CA
90211-2288
US

IV. Provider business mailing address

200 S MANCHESTER AVE STE 300
ORANGE CA
92868-3219
US

V. Phone/Fax

Practice location:
  • Phone: 310-385-2992
  • Fax:
Mailing address:
  • Phone: 714-456-2986
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2088F0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Urology) Physician
License NumberA153950
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberA153950
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: