OrganizationActive
W. Benton Boone a Professional Corporation
NPI 1730114257 · Specialist · Los Angeles, CA
W. Benton Boone a Professional Corporation is a Specialist organization in Los Angeles, CA (NPI 1730114257).
Provider details
- NPI number
- 1730114257
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Willie Boone, President(310) 673-2020
- License
- G13745 (CA)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8616 La Tijera Blvd
Suite 102
Los Angeles, CA 90045-3944
Phone: (310) 673-2020
Fax: (310) 649-5290
Street-level locationGet directions
Mailing address
8616 La Tijera Blvd
Los Angeles, CA 90045-3944
Registry dates
- Enumerated
- 2006-07-12
- Last updated
- 2012-02-29
Frequently asked questions
- What is W. Benton Boone a Professional Corporation's NPI number?
- W. Benton Boone a Professional Corporation's National Provider Identifier (NPI) is 1730114257, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is W. Benton Boone a Professional Corporation?
- W. Benton Boone a Professional Corporation is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is W. Benton Boone a Professional Corporation located?
- W. Benton Boone a Professional Corporation's practice location on file with NPPES is 8616 La Tijera Blvd, Los Angeles, CA 90045-3944.
- What is W. Benton Boone a Professional Corporation's phone number?
- The practice phone number listed in the NPPES registry for W. Benton Boone a Professional Corporation is (310) 673-2020.
- Who is the authorized official for W. Benton Boone a Professional Corporation?
- The authorized official listed on W. Benton Boone a Professional Corporation's NPPES record is Willie Boone, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is W. Benton Boone a Professional Corporation's NPI active?
- Yes — W. Benton Boone a Professional Corporation's NPI (1730114257) is active in the NPPES registry as of the last update on 2012-02-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.