Individual
DR. THOMAS CLEMENT BORUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6033 W CENTURY BLVD, #200, LOS ANGELES, CA 90045-6410
(310) 215-1600
(310) 215-0783
Mailing address
563 36TH ST, MANHATTAN BEACH, CA 90266-3409
(310) 215-1600
(310) 215-0783
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
G25587
CA
Other
Enumeration date
01/30/2007
Last updated
11/12/2009
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