MEDICARE: BOYD W FLINDERS II, M,D. , INC

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
1	207XS0117X	Orthopaedic Surgery of the Spine Physician	G35831	CA

General Provider Information

NPI Number	:	1578838066
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BOYD W FLINDERS II, M,D. , INC

Provider Business Mailing Address
First Line	:	2701 W ALAMEDA AVE STE 403
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91505-4409
Country	:	US
Telephone Number	:	818-848-9807
Fax Number	:

Provider Business Practice Location Address
First Line	:	2701 W ALAMEDA AVE STE 403
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91505-4409
Country	:	US
Telephone Number	:	818-848-9807
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. BOYD WILLIAM FLINDERS II
Credential	:
Telephone Number	:	818-848-9807

Provider Enumeration Date	:	03/15/2012
Last Update Date	:	03/16/2012

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