Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Boulevard Pediatrics Medical Group Inc

Organization Pediatrics Physician · NPI 1669509154

Boulevard Pediatrics Medical Group Inc is a Pediatrics Physician in Encino, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

16550 Ventura Blvd Ste 414
Encino, CA 91436-2004
Phone: (818) 783-3110
Fax: (818) 783-3115
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence A81091 (CA)

Record details

NPI number1669509154
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeremy Shapiro — President · (818) 783-3110
NPI enumeratedFebruary 28, 2007
Last updated in NPPESJanuary 22, 2014
Mailing address16550 Ventura Blvd, Ste 414, Encino, CA 91436-2004

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