Organization
PETER S. BORDEN, M.D., A MEDICAL CORPORATION
Active
Parent organization
PETER S. BORDEN, M.D., A MEDICAL CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
PETER S. BORDEN, M.D., A MEDICAL CORPORATION
Authorized official
PETER S. BORDEN M.D. (OWNER)
(310) 375-8700
Entity
Organization
Contact information
Practice address
23456 HAWTHORNE BLVD, SUITE 200, TORRANCE, CA 90505-4716
(310) 375-8700
Mailing address
2980 N BEVERLY GLEN CIR, STE 301, LOS ANGELES, CA 90077-1726
(310) 474-9809
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
01/25/2011
Last updated
03/01/2011
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