Organization Active NPI

Brendan Boland MD Inc

  • Surgical Oncology Physician
  • Beverly Hills, CA
National Provider Identifier
1225511835
Registry record updated Nov 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
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

Updated by the provider on Nov 21, 2018

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)CodeLicenseStatePrimary
Surgical Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.