Dr. Audrey Lea Boros
Oral and Maxillofacial Pathology
11500 W Olympic Blvd Suite 390
Los Angeles
, California 90064-1524
Dr. Audrey Lea Boros
Oral and Maxillofacial Pathology
11500 W Olympic Blvd Suite 390
Los Angeles
, California 90064-1524
(310) 235-1164
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About
Features
Specialties
- Oral and Maxillofacial Pathology
Languages spoken
- English
Location
First Address
- Dr. Audrey Lea Boros
- 11500 W Olympic Blvd Suite 390
- Los Angeles, CA
- Zip : 90064-1524
- Phone : (310) 235-1164
Second Address
- Dr. Audrey Lea Boros
- 11500 W Olympic Blvd Suite 390
- Los Angeles, CA
- Zip : 90064-1524
- Phone : (310) 235-1164
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0106X | Oral and Maxillofacial Pathology | 61108 | CA |
National Provider Identifier
| NPI | 1760794572 |
|---|---|
| Provider Name | Dr. Audrey Lea Boros |
| First Address | Los Angeles, CA 90064-1524 |
| Second Address | Los Angeles, CA 90064-1524 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/07/2010 |
| Last Update Date | 11/09/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.