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DR. MANAL MONIQUE BOUTROS M.D. NPI 1275714339


NPI Information

NPI: 1275714339
Provider Name: DR. MANAL MONIQUE BOUTROS, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
1425 S MARIPOSA AVE
#104
LOS ANGELES, CA
ZIP 90006
Phone: (323) 734-3411
Get Directions

DR. Manal Monique Boutros, M.D. is a family medicine in Los Angeles, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Manal Monique Boutros, M.D. NPI is 1275714339. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1425 S MARIPOSA AVE
#104
LOS ANGELES, CA
ZIP 90006-300
Phone: (323) 734-3411
Fax: (323) 734-3411

The enumeration date for this NPI number is 11/16/2007 and was last updated on 11/16/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineA042963CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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