Healthcare Provider Details

I. General information

NPI: 1396384442
Provider Name (Legal Business Name): JEFFREY BOYD INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2020
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1451 RIMPAU AVE STE 214
CORONA CA
92879-7522
US

IV. Provider business mailing address

231 E ALESSANDRO BLVD STE 649
RIVERSIDE CA
92508-5084
US

V. Phone/Fax

Practice location:
  • Phone: 951-206-5150
  • Fax:
Mailing address:
  • Phone: 951-206-5150
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: JEFFREY SANTEE BOYD
Title or Position: CEO
Credential:
Phone: 951-206-5150