Individual
DEBORAH SUE BORG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048-1804
(310) 423-5000
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
(310) 423-5000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95010448
CA
363L00000X
Nurse Practitioner
COA.18846-NP
OH
Other
Enumeration date
02/23/2016
Last updated
09/16/2020
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