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Individual

MARK S BORCHERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(213) 669-4510
Mailing address
4821 CARMEL RD, LA CANADA, CA 91011-2708
(213) 669-4510

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
53565
MA
207W00000X
Ophthalmology Physician
Primary
C41974
CA

Other

Enumeration date
06/06/2006
Last updated
10/23/2020
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