Individual
MR. BOID BUIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9150 IMPERIAL HWY RM P-31, DOWNEY, CA 90242-2835
(562) 940-3694
(562) 658-7425
Mailing address
1660 W MISSION BLVD, POMONA, CA 91766-1200
(909) 469-4500
(909) 469-9563
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
'17'
OTHER SERVICE PROVIDERS
—
Enumeration date
03/12/2009
Last updated
03/12/2009
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