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Organization

PRAEVA INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PHABILLIA BORJA MD (SECRETARY)
(347) 585-4987
Entity
Organization

Contact information

Practice address
329 N WETHERLY DR., STE 209, BEVERLY HILLS, CA 90211
(323) 760-7277
Mailing address
1107 FAIR OAKS AVE STE 516, SOUTH PASADENA, CA 91030-3311

Taxonomy

Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary

Other

Enumeration date
12/31/2025
Last updated
12/31/2025
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