Organization
MARCOS BORRERO MD. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCOS BORRERO M.D. (PRESIDENT)
(619) 423-5616
Entity
Organization
Contact information
Practice address
3490 PALM AVE, SAN DIEGO, CA 92154-1664
(619) 423-5616
(619) 423-5684
Mailing address
3490 PALM AVE, SAN DIEGO, CA 92154-1664
(619) 423-5616
(619) 423-5684
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A34221
CA
207R00000X
Internal Medicine Physician
A42177
CA
208D00000X
General Practice Physician
Primary
A38907
CA
363A00000X
Physician Assistant
PA13315
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A389071
—
CA
Enumeration date
08/08/2007
Last updated
08/08/2007
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