NPI
Shellie Mundall Boydston
NPI 1528515699
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- RDHAP
- Type
- Individual
- Enumeration date
- 2016-09-07
- Last updated
- 2016-09-07
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Specialties
Licenses
- License CA
- HAP635
Location
- Practice location
- 28095 West Shore Road
- City
- Lake Arrowhead CA
- Postal code
- 92352-2924
- Phone
- (909) 480-1730
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Lake Arrowhead, CA. 121 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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