# PETER S. BORDEN, M.D., A MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PETER S. BORDEN, M.D., A MEDICAL CORPORATION
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1083919831
- **Legal business name:** PETER S. BORDEN, M.D., A MEDICAL CORPORATION
- **Authorized official:** PETER S. BORDEN M.D. (OWNER)
- **Authorized official phone:** (310) 375-8700

## Contact information

- **Practice address:** 23456 HAWTHORNE BLVD, SUITE 200, TORRANCE, CA 90505-4716
- **Practice address phone:** (310) 375-8700
- **Mailing address:** 2980 N BEVERLY GLEN CIR, STE 301, LOS ANGELES, CA 90077-1726
- **Mailing address phone:** (310) 474-9809

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 01/25/2011
- **Last updated:** 03/01/2011