Tracy Lynn Boldin, BS, QMHP is a
Rehabilitation Practitioner based in Los Angeles, California. Tracy Lynn Boldin is licensed to practice in * (Not Available) (license number ) and her current practice location is
840 N Avenue 66, Los Angeles, California. She can be reached at her office (for appointments etc.) via phone at
(626) 395-7100.
NPI number for Tracy Lynn Boldin is 1730653460 and her current mailing address is Po Box 90521, Los Angeles, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1730653460.
Healthcare Provider's Profile
| Full Name | Tracy Lynn Boldin |
|---|
| Gender | Female |
|---|
| Speciality | Rehabilitation Practitioner |
|---|
| Location | 840 N Avenue 66, Los Angeles, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1730653460
- Provider Enumeration Date: 01/16/2019
- Last Update Date: 05/17/2024
Medical Identifiers
Medical identifiers for Tracy Lynn Boldin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730653460 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tracy Lynn Boldin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Tracy Lynn Boldin, BS, QMHP
Po Box 90521,
Los Angeles, CA 90009-0521
Ph: (214) 549-8769 | Tracy Lynn Boldin, BS, QMHP
840 N Avenue 66,
Los Angeles, CA 90042-1508
Ph: (626) 395-7100 |
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