Richard Boudreau, D.D.S

NPI 1003952334 · on the registry since 2007 · sole proprietor

Practice

Address: 13160 Mindanao Way
Suite 120
Marina Del Rey, CA 90292
Phone: (310) 822-6161
Fax: (310) 822-6825
Organisation at this address: Yun Md Inc
Msk Monitoring
Open Grounds Inc.
Marina Ortho, Inc.
Ba Pain Management
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 52

Registry record

Primary taxonomy: 1223S0112X
1223S0112X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California