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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