Provider Demographics
NPI:1811906654
Name:BOYD, JAMES E (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:E
Last Name:BOYD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:9850 GENESEE AVE
Mailing Address - Street 2:SUITE 355
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-1224
Mailing Address - Country:US
Mailing Address - Phone:858-202-0011
Mailing Address - Fax:858-202-0055
Practice Address - Street 1:2658 DEL MAR HEIGHTS RD
Practice Address - Street 2:BOX# 369
Practice Address - City:DEL MAR
Practice Address - State:CA
Practice Address - Zip Code:92014-3100
Practice Address - Country:US
Practice Address - Phone:858-335-3792
Practice Address - Fax:858-225-7057
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-07
Last Update Date:2013-02-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA75335207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FHC11992HOtherMEDI-CAL
FHC11992HOtherMEDI-CAL
W5740CMedicare ID - Type Unspecified