Provider Demographics
NPI:1427188291
Name:BOYD, ROBIN LESLIE (DC)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:LESLIE
Last Name:BOYD
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 BIRMINGHAM DR
Mailing Address - Street 2:SUITE 1C
Mailing Address - City:CARDIFF
Mailing Address - State:CA
Mailing Address - Zip Code:92007-1758
Mailing Address - Country:US
Mailing Address - Phone:760-943-9474
Mailing Address - Fax:760-943-9631
Practice Address - Street 1:224 BIRMINGHAM DR STE 1C
Practice Address - Street 2:
Practice Address - City:CARDIFF
Practice Address - State:CA
Practice Address - Zip Code:92007-1743
Practice Address - Country:US
Practice Address - Phone:760-943-9474
Practice Address - Fax:760-943-9631
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2008-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC12135111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW13783Medicare PIN