DR. AUDREY LEA BOROS DDS
NPI 1760794572
Dentist - Oral and Maxillofacial Pathology in Los Angeles, CA
About Dr. Audrey Lea Boros Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. AUDREY LEA BOROS DDS (NPI 1760794572) is an individual oral and maxillofacial pathology provider in Los Angeles, California, licensed in California (61108) and active in the NPI registry since July 2010. She has opted out of Medicare through September 11, 2026 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Audrey Lea Boros Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 11, 2014 through September 11, 2026.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90064 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LOS ANGELES, CA 90064
LOS ANGELES, CA 90064
LOS ANGELES, CA 90064
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 Audrey Boros's NPI number?
The NPI number for Audrey Boros is 1760794572. It was assigned to this individual provider in the NPPES registry on July 9, 2010.
Where is Audrey Boros located?
Audrey Boros practices at 11500 W Olympic Blvd Suite 390, Los Angeles, CA 90064. The listed phone number is (310) 235-1164.
What is Audrey Boros's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Pathology, with taxonomy code 1223P0106X.
Is Audrey Boros enrolled in Medicare?
No. Audrey Boros has opted out of Medicare through September 11, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Audrey Boros was last updated on September 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Dr. Audrey Lea Boros, DDS · NPI 1760794572
Oral and Maxillofacial Pathology provider in Los Angeles, California. Individual provider, active in the CMS NPPES registry since July 9, 2010.
## Identity
- **NPI:** 1760794572 (Entity type: Individual)
- **Enumerated:** July 9, 2010
- **Primary specialty:** Dentist - Oral and Maxillofacial Pathology · taxonomy 1223P0106X
- **State license:** 61108 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 11500 W OLYMPIC BLVD, SUITE 390, Los Angeles, CA 90064-1524
- **Phone:** (310) 235-1164
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through September 11, 2026); services are provided under private contract
## Record status
- **NPPES last updated:** September 11, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1760794572) · Data from the CMS NPPES public registry.