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Individual

MRS. BORA JI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2720 N HARBOR BLVD, SUITE 130, FULLERTON, CA 92835-2609
(714) 449-6200
Mailing address
2720 N HARBOR BLVD, SUITE 130, FULLERTON, CA 92835-2609

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA19789
CA
363AM0700X
Medical Physician Assistant
Primary
PA19789
CA

Other

Enumeration date
05/21/2010
Last updated
01/16/2025
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