Individual
EDUARDO A BORQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 N STATE ST, ROOM 1011, LOS ANGELES, CA 90089-1001
(323) 226-6667
Mailing address
6549 MISSION GORGE RD, #254, SAN DIEGO, CA 92120-2306
(626) 318-8502
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A99526
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A99526
MEDICAL LICENSE
CA
Enumeration date
11/09/2007
Last updated
12/06/2021
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