Individual
DR. MAYA GAYLYN BORSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
6256 GREENWICH DR STE 150, SAN DIEGO, CA 92122-5965
(858) 658-6500
(866) 558-4329
Mailing address
6256 GREENWICH DR STE 150, SAN DIEGO, CA 92122-5965
(858) 658-6500
(866) 558-4329
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A97134
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A971340
BS OF CA
CA
05
—
1548473507
—
CA
Enumeration date
05/07/2007
Last updated
04/12/2021
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