Provider Demographics
NPI:1972875698
Name:BOYLE, MONIQUE
Entity type:Individual
Prefix:
First Name:MONIQUE
Middle Name:
Last Name:BOYLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5436 S BROADWAY
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90037-4126
Mailing Address - Country:US
Mailing Address - Phone:323-234-6261
Mailing Address - Fax:
Practice Address - Street 1:4136 AMBNER #7 AV
Practice Address - Street 2:
Practice Address - City:ELSERENO
Practice Address - State:CA
Practice Address - Zip Code:90032-4126
Practice Address - Country:US
Practice Address - Phone:323-234-6261
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-27
Last Update Date:2012-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)