Healthcare Provider Details

I. General information

NPI: 1437751773
Provider Name (Legal Business Name): HAYLI JOANNE BOIKO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/11/2020
Last Update Date: 11/11/2020
Certification Date: 11/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

71175 AURORA RD
DESERT HOT SPRINGS CA
92241-7631
US

IV. Provider business mailing address

43600 SAN PASCUAL AVE
PALM DESERT CA
92260-9311
US

V. Phone/Fax

Practice location:
  • Phone: 760-251-8858
  • Fax: 760-329-8889
Mailing address:
  • Phone: 760-808-2271
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: