Provider Demographics
NPI:1013724210
Name:BOICE, JOSHUA ELWYN (MS, ATC)
Entity type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:ELWYN
Last Name:BOICE
Suffix:
Gender:M
Credentials:MS, ATC
Other - Prefix:
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Mailing Address - Street 1:756 E E ST
Mailing Address - Street 2:
Mailing Address - City:ONTARIO
Mailing Address - State:CA
Mailing Address - Zip Code:91764-3821
Mailing Address - Country:US
Mailing Address - Phone:909-994-4403
Mailing Address - Fax:
Practice Address - Street 1:23300 COTTONWOOD AVE
Practice Address - Street 2:
Practice Address - City:MORENO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92553-3499
Practice Address - Country:US
Practice Address - Phone:951-571-4820
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-12
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer