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MICHAEL JOHN BORER M.D.

>> Ophthalmology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1558315390

Individual Registrant:
 MICHAEL JOHN BORER M.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
12840 RIVERSIDE DR SUITE #210 VALLEY VILLAGE, CA 91607-3327 US
Tel: 818-760-4333  Fax: 818-760-4335

Contact information for business:
14460 N CHURCH SQ  SAN DIEGO, CA 92128-3751 US
Tel: 858-613-1808  Fax: 858-613-1801

Registration Information:
NPI: 1558315390
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207W00000XAllopathic & Osteopathic Physicians
Ophthalmology
CAG12589

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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