Individual
YVETTE M BORDELON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
127 S SAN VICENTE BLVD STE A6600, LOS ANGELES, CA 90048-3311
(310) 423-6472
(310) 423-0148
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A89162
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A891620
—
CA
Enumeration date
07/13/2006
Last updated
11/14/2023
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