Individual provider · Type 1 NPI

Tracy Lynn Boldin, BS, QMHP

Rehabilitation Practitioner · Los Angeles, CA

NPI number 1730653460 Active

Practice location

840 N Avenue 66
Los Angeles, CA 90042-1508

Call (626) 395-7100 Map

Mailing address

PO Box 90521
Los Angeles, CA 90009-0521

Other practice locations

  • 13130 Burbank Blvd, Sherman Oaks, CA 91401-6037 · (818) 781-0360

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1730653460

Tracy Lynn Boldin, BS, QMHP's National Provider Identifier is 1730653460, issued on Jan 16, 2019. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Los Angeles, CA. The record was last updated on May 17, 2024.