MYRIAM BOUTARY NPI 1891022778

NPI Information

  • NPI: 1891022778
  • Provider Name: MYRIAM BOUTARY
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4235 PACIFIC COAST HWY
    TORRANCE, CA
    ZIP 90505
  • Phone: (866) 389-2727

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NPI Details

Myriam Boutary is a family nurse practitioner in Torrance, CA. Myriam Boutary NPI is 1891022778. 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:

4235 PACIFIC COAST HWY
TORRANCE, CA
ZIP 90505-525
Phone: (866) 389-2727

The NPI 1891022778 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 11/12/2009 and was last updated on 10/5/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily19222CALIFORNIAYes

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: 11/21/2025

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