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Organization
KENNETH BOYER OD, INC
Active
Organization
KENNETH BOYER OD, INC
Active
Parent organization
KENNETH BOYER OD, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
KENNETH BOYER OD, INC.
Authorized official
MS. PATRICIA ANN DANIELS (INSURANCE COORDINATOR/BILLER)
(909) 596-6756
Entity
Organization
Contact information
Practice address
2443 FOOTHILL BLVD, LA VERNE, CA 91750-3028
(909) 596-6756
(909) 593-0786
Mailing address
2443 FOOTHILL BLVD, LA VERNE, CA 91750-3028
(909) 596-6756
(909) 593-0786
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GSD000651
—
CA
Enumeration date
03/16/2020
Last updated
11/27/2023
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