Individual
MS. IMELDA ANCHETA BORJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
22844 VIRGINIA BLVD, CALIFORNIA CITY, CA 93505
(760) 373-1764
Mailing address
1837 E 215TH PL, CARSON, CA 90745-1857
(310) 549-7341
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA19669
CA
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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