# FRANK J. BOUTIN JR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1265440721
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | G63508 | CA | Yes |

## Other

- **Enumeration date:** 08/03/2006
- **Last updated:** 02/09/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000810354263 | PHCS | CA |
| 01 | — | 00G635080 | BLUE SHIELD | CA |
| 05 | — | 00G635080 | — | CA |
| 01 | — | 1049186 | UNITED | CA |
| 01 | — | 2262774 | FIRST HEALTH | CA |
| 01 | — | 35155 | INTERPLAN | CA |
| 01 | — | 3760246 | CIGNA | CA |
| 01 | — | 4272800 | AETNA | CA |
| 01 | — | 501694 | HEALTH NET | CA |
| 01 | — | 544409 | GREAT WEST | CA |
| 01 | — | 78505 | FIRST HEALTH | CA |
| 01 | — | 90022511 | PACIFICARE | CA |
| 01 | — | G63508 | BLUE CROSS | CA |
| 01 | — | MCMG167800 | WESTERN HEALTH ADVANTAGE | CA |