Individual
GWYNETH FUNAN BOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12227 SHADY HOLLOW LN, PORTER RANCH, CA 91326-3860
(818) 675-4003
Mailing address
12227 SHADY HOLLOW LN, PORTER RANCH, CA 91326-3860
(818) 675-4003
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
68505
CA
Other
Enumeration date
06/20/2026
Last updated
06/20/2026
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