Individual
DOMINIQUE CHRISTINE BORCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
200 S MANCHESTER AVE STE 600, ORANGE, CA 92868-3222
(714) 456-2911
Mailing address
200 S MANCHESTER AVE STE 300, ORANGE, CA 92868-3219
(714) 456-2986
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
PA59194
CA
207R00000X
Internal Medicine Physician
PA59194
CA
207V00000X
Obstetrics & Gynecology Physician
PA59194
CA
208800000X
Urology Physician
PA59194
CA
363A00000X
Physician Assistant
Primary
PA59194
CA
Other
Enumeration date
02/23/2021
Last updated
02/07/2023
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