Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY BOUTROS
ActiveMARY BOUTROS is a Gerontological Nurse Practitioner healthcare provider located in LOS ANGELES, California. NPI 1982588976 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · LOS ANGELES, CA
Registration Details
- NPI Number
- 1982588976
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 2, 2025 (0.98863087130638 yrs)
- Last Updated
- Aug 2, 2025
- License
-
95036011 (CA)
Practice Information
- Address
-
11301 WILSHIRE BLVDLOS ANGELES, CA, 900731003Browse CA providers · Browse ZIP 90073
- Phone
- 3104783711
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
Other Gerontological Nurse Practitioner Providers in LOS ANGELES, CA
| Name | Credential | NPI |
|---|---|---|
| MS. JENICE RIA S. GUZMAN | APRN-BC, MSN | 1407808512 |
| MS. PATRIA OYARDO DE LUNA | NP | 1295788727 |
| MS. FELIZA ANGELINE CALUB | NP | 1417903931 |
| KEIKO LILLY MIMURA | MSN, APRN, BC | 1932142544 |
| JULIA K BAIL | RNP | 1164592408 |
| LIDA BAO | N.P. | 1629130372 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.