Organization
SANTA MONICA PODIATRY GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY JAY BOYKOFF DPM (PRESIDENT)
(310) 451-1618
Entity
Organization
Contact information
Practice address
1260 15TH ST, SUITE 1014, SANTA MONICA, CA 90404-1135
(310) 451-1618
Mailing address
1260 15TH ST, SUITE 1014, SANTA MONICA, CA 90404-1135
(310) 451-1618
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
E2764
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
048
NEIC SPECIALTY CODE
CA
Enumeration date
07/12/2006
Last updated
04/20/2008
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