DR. AUDREY LEA BOROS DDS
NPI 1760794572
Dentist - Oral and Maxillofacial Pathology in Los Angeles, CA

Active since July 09, 2010Opted out of Medicare · through Sep 11, 2026
11500 W OLYMPIC BLVD, SUITE 390, LOS ANGELES, CA 90064(310) 235-1164 Get Directions Write a Review

NPPES record last updated: September 11, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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

NPI1760794572
Entity TypeIndividualFemale
Primary Taxonomy1223P0106X
Provider Legal NameDR. AUDREY LEA BOROSCredential: DDS
Location Address11500 W OLYMPIC BLVD, SUITE 390Los Angeles, CA 90064-1524
Mailing Address11500 W Olympic Blvd, Suite 390Los Angeles, CA 90064-1524 · (310) 235-1164
Sole ProprietorYes
Enumeration DateJuly 9, 2010
Last NPPES UpdateSeptember 11, 2013
NPI 1760794572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial PathologyDental Providers
Taxonomy Code1223P0106X
License Licensed in CA · 61108
Definition

The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.

11500 W OLYMPIC BLVD, Los Angeles, CA 90064

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.

Opt-Out Effective DateSeptember 11, 2014
Opt-Out In Effect ThroughSeptember 11, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Obstetrics & Gynecology (Reproductive Endocrinology)
11500 W OLYMPIC BLVD, SUITE 504
LOS ANGELES, CA 90064
Social Worker (Clinical)
11500 W OLYMPIC BLVD, LOS ANGELES
LOS ANGELES, CA 90064
Psychologist (Clinical)
11500 W OLYMPIC BLVD, SUITE 500
LOS ANGELES, CA 90064
Physical Therapist
11500 W OLYMPIC BLVD, SUITE 350
LOS ANGELES, CA 90064
Dentist
11500 W OLYMPIC BLVD, #508
LOS ANGELES, CA 90064
Dentist
11500 W OLYMPIC BLVD, #424
LOS ANGELES, CA 90064
Psychologist (Clinical)
11500 W OLYMPIC BLVD, 500
LOS ANGELES, CA 90064
Dentist (General Practice)
11500 W OLYMPIC BLVD, SUITE # 307
LOS ANGELES, CA 90064

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760794572, enumerated as an "individual" on July 09, 2010.

The provider is located at 11500 W OLYMPIC BLVD SUITE 390 LOS ANGELES, CA 90064 and the phone number is (310) 235-1164.

Dentist with taxonomy code 1223P0106X and a focus in Oral and Maxillofacial Pathology.