Provider Demographics
NPI:1275391294
Name:BYARD, MARCIA (BSHS)
Entity Type:Individual
Prefix:
First Name:MARCIA
Middle Name:
Last Name:BYARD
Suffix:
Gender:F
Credentials:BSHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4050 S FIGUEROA ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90037-2029
Mailing Address - Country:US
Mailing Address - Phone:310-591-4131
Mailing Address - Fax:
Practice Address - Street 1:4050 S FIGUEROA ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90037-2029
Practice Address - Country:US
Practice Address - Phone:213-700-0436
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-13
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator