Individual
DR. JOHN DAVID BORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7850 VISTA HILL AVE, SAN DIEGO, CA 92123-2717
(858) 755-3090
Mailing address
PO BOX 2469, DEL MAR, CA 92014-1769
(858) 755-3090
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
C32854
CA
2084P0802X
Addiction Psychiatry Physician
C32854
CA
2084P0804X
Child & Adolescent Psychiatry Physician
C32854
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C328540
—
CA
Enumeration date
02/25/2007
Last updated
08/30/2012
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