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Organization

BORREGO INDEPENDENT PHYSICIANS ASSOCIATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALFREDO RATNIEWSKI M.D. (CHAIRMAN OF THE BOARD)
(760) 871-0606
Entity
Organization

Contact information

Practice address
955 HARBOR ISLAND DR, SUITE 162, SAN DIEGO, CA 92101-1035
(858) 344-5545
Mailing address
955 HARBOR ISLAND DR, SUITE 162, SAN DIEGO, CA 92101-1035

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
58252
CA
207Q00000X
Family Medicine Physician
Primary
A34382
CA
207R00000X
Internal Medicine Physician
C42220
CA
207V00000X
Obstetrics & Gynecology Physician
20A8287
CA
208000000X
Pediatrics Physician
A77736
CA
213E00000X
Podiatrist
E1514
CA

Other

Enumeration date
08/31/2010
Last updated
08/31/2010
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