Individual
DR. JOSEPH BORNHEIMER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1560 E CHEVY CHASE DR, 410, GLENDALE, CA 91206-4197
(818) 247-8331
(818) 247-3434
Mailing address
1560 E CHEVY CHASE DR, 410, GLENDALE, CA 91206-4197
(818) 247-8331
(818) 247-3434
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C32890
CA
207RC0000X
Cardiovascular Disease Physician
C32890
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0014120
—
CA
Enumeration date
09/26/2006
Last updated
02/01/2008
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