Boldin, Tracy Lynn

Boldin, Tracy Lynn is an individual health care provider with primary practice located at 840 N Avenue 66 , Los Angeles CA 90042-1508. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner is her primary health care specialty. Boldin, Tracy Lynn can be contacted via phone (626) 395-7100.

Contact Information

Primary practice address
840 N Avenue 66 Los Angeles CA 90042-1508
Phone: (626) 395-7100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X

Profile Details

NPI number 1730653460
LBN Legal business name Boldin, Tracy Lynn
Credentials BS, QMHP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2019
Last updated May 17th, 2024 - about last year

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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