# MARCOS BORRERO MD INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073704524
- **Authorized official:** MARCOS BORRERO M.D. (PRESIDENT)
- **Authorized official phone:** (619) 423-5616

## Contact information

- **Practice address:** 3490 PALM AVE, SAN DIEGO, CA 92154-1664
- **Practice address phone:** (619) 423-5616
- **Practice address fax:** (619) 423-5684
- **Mailing address:** 3490 PALM AVE, SAN DIEGO, CA 92154-1664
- **Mailing address phone:** (619) 423-5616
- **Mailing address fax:** (619) 423-5684

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | A34221 | CA | — |
| 207R00000X | Internal Medicine Physician | A42177 | CA | — |
| 208D00000X | General Practice Physician | A38907 | CA | Yes |
| 363A00000X | Physician Assistant | PA13315 | CA | — |

## Other

- **Enumeration date:** 08/08/2007
- **Last updated:** 06/11/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00A389071 | — | CA |