Boland, Brendan John

Boland, Brendan John is an individual health care provider with primary practice located at 44151 15Th St W Ste 101 , Lancaster CA 93534-4079. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgical Oncology is his primary health care specialty. Boland, Brendan John can be contacted via phone (661) 902-5600.

Contact Information

Primary practice address
44151 15Th St W Ste 101 Lancaster CA 93534-4079
Phone: (661) 902-5600
Fax: (661) 951-0686
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X A87312 California
Allopathic & Osteopathic Physicians / Surgery 208600000X ME113892 Florida
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X A87312 California

Profile Details

NPI number 1790944783
LBN Legal business name Boland, Brendan John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2008
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790944783 NPPES
Florida MEDICAID 006489500

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