Healthcare Provider Details

I. General information

NPI: 1518862838
Provider Name (Legal Business Name): JARED WAYNE BOYD BSN,RN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4101 TORRANCE BLVD
TORRANCE CA
90503
US

IV. Provider business mailing address

207 28TH ST.
HERMOSA BEACH CA
90254
US

V. Phone/Fax

Practice location:
  • Phone: 310-540-7676
  • Fax:
Mailing address:
  • Phone: 424-750-0082
  • 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 StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: