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Organization
BORWORN RATTIDHAM,MD.,P.C.
Active
Organization
BORWORN RATTIDHAM,MD.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BORWORN RATTIDHAM M.D. (PRESIDENT)
(951) 943-8110
Entity
Organization
Contact information
Practice address
126 AVOCADO AVE STE 102, PERRIS, CA 92571-2605
(951) 943-8110
Mailing address
126 AVOCADO AVE STE 102, PERRIS, CA 92571-2605
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
A25955
CA
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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