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NPI Code Detail

MEDICARE: NOEL G BOYLE M.D.

MEDICARE: NOEL G BOYLE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease PhysicianA53732CA
2174400000XSpecialistA53732CA
3207R00000XInternal Medicine PhysicianA53732CA
4207RC0001XClinical Cardiac Electrophysiology PhysicianA53732CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174574917
Entity Type Code : Individual
Provider Name (Legal Business Name) : NOEL G BOYLE M.D.
Provider Business Mailing Address
First Line : 5767 W CENTURY BLVD STE 400
Second Line :
City : LOS ANGELES
State : CA
Zip : 90045-5631
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 100 UCLA MEDICAL PLZ STE 690
Second Line :
City : LOS ANGELES
State : CA
Zip : 90024-7000
Country : US
Telephone Number : 310-206-2235
Fax Number : 310-825-2092
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2006
Last Update Date : 01/07/2020

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