NPI Code Details Logo

NPI 1295736916

NPI 1295736916 : DAVID S BOYER MD : LOS ANGELES, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1295736916
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    DAVID S BOYER MD
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/03/2005
-----------------------------------------------------
    Last Update Date     |    01/23/2020
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1245 WILSHIRE BLVD STE 380 
-----------------------------------------------------
    City                 |    LOS ANGELES
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    90017-4886
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    213-483-8810
-----------------------------------------------------
    Fax                  |    213-975-9118
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1245 WILSHIRE BLVD STE 380 
-----------------------------------------------------
    City                 |    LOS ANGELES
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    90017-4886
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    213-483-8810
-----------------------------------------------------
    Fax                  |    213-975-9118
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207W00000X
-----------------------------------------------------
    Taxonomy Name        |    Ophthalmology Physician
-----------------------------------------------------
    License Number       |    G25107
-----------------------------------------------------
    License Number State |    CA
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.