Organization
PETER S BORDEN MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER SCOTT BORDEN MD (OWNER)
(310) 375-8700
Entity
Organization
Contact information
Practice address
23456 HAWTHORNE BLVD, SUITE 200, TORRANCE, CA 90505-4716
(310) 375-8700
(310) 375-8776
Mailing address
23456 HAWTHORNE BLVD, SUITE 200, TORRANCE, CA 90505-4716
(310) 375-8700
(310) 375-8776
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
A62201
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A62201
MEDICAL LICENSE
CA
Enumeration date
11/01/2012
Last updated
11/01/2012
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