Individual
MR. BORIS DEMITRY TAPIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
26520 CACTUS AVE, DEPT. OF ORTHOPAEDIC SURGERY, MORENO VALLEY, CA 92555-3927
(951) 486-5690
(951) 486-4106
Mailing address
28119 OAKLAR DR, SAUGUS, CA 91350-1843
(661) 296-6088
(951) 486-4106
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA18532
CA
Other
Enumeration date
05/24/2007
Last updated
11/23/2021
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