BOULEVARD PEDIATRICS MEDICAL GROUP INC – NPI #1669509154
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

BOULEVARD PEDIATRICS MEDICAL GROUP INC is a provider located in ENCINO, CA. NPPES has assigned the NPI number 1669509154 to BOULEVARD PEDIATRICS MEDICAL GROUP INC on February 28, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 12 years ago on Jan 22, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BOULEVARD PEDIATRICS MEDICAL GROUP INC below.

NPI Profile for
BOULEVARD PEDIATRICS MEDICAL GROUP INC

NPI Number
1669509154
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BOULEVARD PEDIATRICS MEDICAL GROUP INC
Primary location
16550 VENTURA BLVD
STE 414
ENCINO, CA 91436-2004
Phone: (818) 783-3110 Fax: (818) 783-3115
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JEREMY SHAPIRO
PRESIDENT
Phone: (818) 783-3110
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
CA A81091

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.