# GEORGE BORIS, M.D. A MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1942506027
- **Authorized official:** GEORGE BORIS M.D. (OWNER / M.D.)
- **Authorized official phone:** (310) 204-5822

## Contact information

- **Practice address:** 9700 VENICE BLVD, CULVER CITY, CA 90232-2717
- **Practice address phone:** (310) 204-5822
- **Practice address fax:** (310) 204-2477
- **Mailing address:** 9700 VENICE BLVD, CULVER CITY, CA 90232-2717
- **Mailing address phone:** (310) 204-5822
- **Mailing address fax:** (310) 204-2477

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | G27267 | CA | Yes |

## Other

- **Enumeration date:** 02/07/2011
- **Last updated:** 02/07/2011