Individual
ANITA BOORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
9930 TALBERT AVE., FOUNTAIN VALLEY, CA 92708
(714) 964-6229
(714) 378-6233
Mailing address
9930 TALBERT AVE., FOUNTAIN VALLEY, CA 92708
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
20A7268
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0020A72680
MEDI CAL #
CA
Enumeration date
06/17/2005
Last updated
09/22/2008
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