Erie V Boorman Md Inc

NPI 1053507897 - Internal Medicine - 207R00000X

NPI Details
NPI 1053507897
Enumeration Date 09/14/2007
Last Updated 09/14/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ERIE V ERIE
Position PRESIDENT
Phone (310) 481-0481
Fax
Practice Location
11645 WILSHIRE BLVD
SUITE 901
LOS ANGELES CA, 90025-1708, US
Phone (310) 481-0481
Fax
Business Location
11645 WILSHIRE BLVD
SUITE 901
LOS ANGELES CA, 90025-1708, US
Phone (310) 481-0481
Fax (310) 481-0482
Toxanomy
Taxonomy Code 207R00000X
License State
License Number
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According to our database, Erie V Boorman Md Inc NPI is 1053507897, taxonomy code is 207R00000X Erie V Boorman Md Inc physically located at 11645 Wilshire Blvd, Los Angeles CA, 90025-1708. NPI Number 1033115704 has the healthcare provider type.

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1053507897 NPI number is provided on an as is basis without warranty of any kind. 1053507897 is maintained by the National Plan & Provider Enumeration System. The contents of Erie V Boorman Md Inc are for informational purposes only.