Provider Demographics
NPI:1306099767
Name:BOYKINS, WILLIAM L
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:L
Last Name:BOYKINS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12030 LONGVALE AVE
Mailing Address - Street 2:
Mailing Address - City:LYNWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90262-4807
Mailing Address - Country:US
Mailing Address - Phone:310-885-1801
Mailing Address - Fax:
Practice Address - Street 1:12030 LONGVALE AVE
Practice Address - Street 2:
Practice Address - City:LYNWOOD
Practice Address - State:CA
Practice Address - Zip Code:90262-4807
Practice Address - Country:US
Practice Address - Phone:310-885-1801
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-29
Last Update Date:2008-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner