Provider Demographics
NPI:1730202565
Name:BOATSMAN, ERIN ELAINE (MD)
Entity type:Individual
Prefix:DR
First Name:ERIN
Middle Name:ELAINE
Last Name:BOATSMAN
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:10833 LE CONTE AVE
Mailing Address - Street 2:MDCC A2-410
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90095-3075
Mailing Address - Country:US
Mailing Address - Phone:310-825-6708
Mailing Address - Fax:310-206-8089
Practice Address - Street 1:10833 LE CONTE AVE
Practice Address - Street 2:MDCC A2-410
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90095-3075
Practice Address - Country:US
Practice Address - Phone:310-825-6708
Practice Address - Fax:310-206-8089
Is Sole Proprietor?:No
Enumeration Date:2007-04-08
Last Update Date:2021-11-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK23415208000000X
CAA940072080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics