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Organization
CARL THOMAS BOYLEN M.D. INC.
Active
Organization
CARL THOMAS BOYLEN M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL THOMAS BOYLEN M.D. (OWNER)
(213) 351-0030
Entity
Organization
Contact information
Practice address
274 1/2 S RAMPART BLVD, LOS ANGELES, CA 90057-1404
(213) 351-0030
(213) 388-3833
Mailing address
274 1/2 S RAMPART BLVD, LOS ANGELES, CA 90057-1404
(213) 351-0030
(213) 388-3833
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
C30146
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C30146
CERTIFICATE
CA
Enumeration date
07/17/2006
Last updated
08/22/2020
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