Active NPI
Brendan Boland MD Inc
- Surgical Oncology Physician
- Beverly Hills, CA
National Provider Identifier
1225511835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Oncology Physician
- Legal business name
- BRENDAN BOLAND MD INC
- Practice address
- 9001 Wilshire Blvd Ste 207
Beverly Hills, CA 90211-1843 - Phone
- (805) 769-4612
- NPI assigned
- Sep 10, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brendan Boland, MD
- Title
- President
- Phone
- (310) 717-0583
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Oncology Physician | 2086X0206X | Primary |
Addresses
Primary practice location
9001 Wilshire Blvd Ste 207
Beverly Hills, CA 90211-1843
Mailing address
3340 Crestford Dr
Altadena, CA 91001-4112
Phone (310) 717-0583
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536537600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1542758400000",
"number": "1225511835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3340 CRESTFORD DR",
"city": "ALTADENA",
"state": "CA",
"postal_code": "910014112",
"telephone_number": "310-717-0583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9001 WILSHIRE BLVD STE 207",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902111843",
"telephone_number": "805-769-4612"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRENDAN BOLAND MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-10",
"last_updated": "2018-11-21",
"status": "A",
"authorized_official_last_name": "BOLAND",
"authorized_official_first_name": "BRENDAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "310-717-0583",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2086X0206X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Surgical Oncology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.