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DR. RICHARD GEORGE BOUDREAU D.D.S.
NPI 1003952334
Dentist - Oral and Maxillofacial Surgery in Marina Del Rey, CA

Active since January 30, 2007
13160 MINDANAO WAY, SUITE 120, MARINA DEL REY, CA 90292(310) 822-6161(310) 822-6825 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Richard George Boudreau D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RICHARD GEORGE BOUDREAU D.D.S. (NPI 1003952334) is an individual oral and maxillofacial surgery provider in Marina Del Rey, California, licensed in California (D21852) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1003952334
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. RICHARD GEORGE BOUDREAUCredential: D.D.S.
Location Address13160 MINDANAO WAY, SUITE 120Marina Del Rey, CA 90292-6358
Mailing Address13160 Mindanao Way, Suite 120Marina Del Rey, CA 90292-6358 · (310) 822-6161 · Fax (310) 822-6825
Phone(310) 822-6161
Fax(310) 822-6825
Sole ProprietorYes
Enumeration DateJanuary 30, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1003952334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in CA · D21852
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
13160 MINDANAO WAY, Marina Del Rey, CA 90292
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARAH S. MILLER MD, INCORPORATED
Physical Medicine & Rehabilitation
13160 MINDANAO WAY, SUITE 300
MARINA DEL REY, CA 90292
Los Angeles County (310) 574-0400
DAVID KAPLOWITZ MD
Internal Medicine
13160 MINDANAO WAY, SUITE 252
MARINA DEL REY, CA 90292
Los Angeles County (310) 823-4993
MS. LISA ANNE PENNY M.A.
Marriage & Family Therapist
13160 MINDANAO WAY, #300
MARINA DEL REY, CA 90292
Los Angeles County (310) 990-9164
DR. NATALIA MARIA HOMYAK DDS
Dentist (General Practice)
13160 MINDANAO WAY, ROOM 170
MARINA DEL REY, CA 90292
Los Angeles County (310) 823-6400
DR. ROBERT S BRAY JR. M.D.
Neurological Surgery
13160 MINDANAO WAY, SUITE #300
MARINA DEL REY, CA 90292
Los Angeles County (310) 854-3800
DR. RAE L HADLEY PSY.D.
Psychologist (Clinical)
13160 MINDANAO WAY
MARINA DEL REY, CA 90292
Los Angeles County (925) 282-1778
DR. JEREMY SCOTT SUMMERS D.C.
Chiropractor (Sports Physician)
13160 MINDANAO WAY, SUITE 308
MARINA DEL REY, CA 90292
Los Angeles County (310) 574-0395
FREDERIC G NICOLA M. D.
Specialist
13160 MINDANAO WAY, STE 300
MARINA DEL REY, CA 90292
Los Angeles County (310) 574-0400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Richard Boudreau's NPI number?

The NPI number for Richard Boudreau is 1003952334. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Where is Richard Boudreau located?

Richard Boudreau practices at 13160 Mindanao Way Suite 120, Marina Del Rey, CA 90292. The listed phone number is (310) 822-6161.

What is Richard Boudreau's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

What insurance does Richard Boudreau accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Richard Boudreau as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Richard Boudreau was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.