Mary Boutros
Mary Boutros is a Gerontology Nurse Practitioner in Los Angeles, California. Licensed in California. Registered with an NPI since 2025.
- Licensed in
- CA
- In the registry since
- 2025
Practice location Address checks out
11301 Wilshire BlvdLos Angeles, CA 90073-1003
Phone: (310) 478-3711
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Gerontology Nurse Practitioner (primary) | Taxonomy 363LG0600X · Licence 95036011 (CA) |
|---|
Record details
| NPI number | 1982588976 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 2, 2025 |
| Last updated in NPPES | August 2, 2025 |
| Certification date | August 2, 2025 |
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