Most Relevant Information
Provider Data
| NPI Number: | 1003420142 |
| Provider Name: | ODETTE BOYD PA |
| Entity Type: | Individual |
| Taxonomy Code: | 103T00000X |
| Specialty: | Psychologist |
| License Number: | 94024879 |
Most Important Dates
| Enumeration Date: | 09/05/2020 |
| Last Updated: | 09/05/2020 |
Provider Practice Location
5101 E LA PALMA AVE STE 100
ANAHEIM
CA
928072056
Practice Location Phone/Fax
| Phone: | 4422295636 |
| Fax: |
Provider Mailing Location
10808 FOOTHILL BLVD # 626
RANCHO CUCAMONGA
CA
917303889
Provider Mailing Phone/Fax
| Phone: | 4242309276 |
| Fax: |