Provider Demographics
NPI:1992960462
Name:BOYER, DARREN MICHAEL (MD)
Entity type:Individual
Prefix:DR
First Name:DARREN
Middle Name:MICHAEL
Last Name:BOYER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 SANTA MONICA BLVD
Mailing Address - Street 2:STE 490W
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90404-2127
Mailing Address - Country:US
Mailing Address - Phone:310-359-6790
Mailing Address - Fax:844-800-5249
Practice Address - Street 1:2001 SANTA MONICA BLVD STE 490W
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404-2127
Practice Address - Country:US
Practice Address - Phone:310-359-6790
Practice Address - Fax:800-844-5249
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-24
Last Update Date:2019-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA111784207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA111784OtherCA LICENSE