Provider Demographics
NPI:1548222771
Name:FLINDERS, BOYD W II (MD)
Entity Type:Individual
Prefix:DR
First Name:BOYD
Middle Name:W
Last Name:FLINDERS
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2701 W ALAMEDA AVE
Mailing Address - Street 2:403
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-4402
Mailing Address - Country:US
Mailing Address - Phone:818-848-9807
Mailing Address - Fax:818-848-9850
Practice Address - Street 1:2701 W ALAMEDA AVE
Practice Address - Street 2:403
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-4402
Practice Address - Country:US
Practice Address - Phone:818-848-9807
Practice Address - Fax:818-848-9850
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-04
Last Update Date:2012-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG35831174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAQ55384Medicare UPIN