Individual
BORNA VAJDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10250 SANTA MONICA BLVD STE 2440, LOS ANGELES, CA 90067-6593
(310) 286-0122
(310) 286-0125
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A184399
CA
Other
Enumeration date
06/10/2020
Last updated
04/19/2024
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