Healthcare Provider Details

I. General information

NPI: 1982028742
Provider Name (Legal Business Name): MRS. TARYN MARIE BOYER GRIFFIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: TARYN MARIE BOYER

II. Dates (important events)

Enumeration Date: 02/13/2014
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 W EL PORTAL
SAN CLEMENTE CA
92672-4633
US

IV. Provider business mailing address

131 W EL PORTAL
SAN CLEMENTE CA
92672-4633
US

V. Phone/Fax

Practice location:
  • Phone: 949-323-8286
  • Fax:
Mailing address:
  • Phone: 949-323-8286
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: