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Borworn Rattidham,md.,p.c.
Medical Specialty Clinic/Center in Perris, California
NPI 1689865776

Borworn Rattidham,md.,p.c. is a Medical Specialty Clinic/Center based in Perris, CA and is specialized in Medical Specialty. Borworn Rattidham,md.,p.c. practices in Perris, CA. The NPI Number for Borworn Rattidham,md.,p.c. is 1689865776 and holds a License No. A25955 (California).

The current practice location address for Borworn Rattidham,md.,p.c. is 126 Avocado Ave Ste 102, Perris, CA and can be reached out via phone at 951-943-8110.

Location: 126 Avocado Ave Ste 102, Perris, CA, 92571-2605
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689865776
Provider Name
Borworn Rattidham,md.,p.c.
Credential
Provider Entity Type
Organization
Address
126 Avocado Ave Ste 102, Perris, CA, 92571-2605
Phone Number
951-943-8110
Fax Number
Provider Enumeration Date
08/05/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
126 Avocado Ave Ste 102
City
Perris
State
California
Zip
92571-2605
Phone Number
951-943-8110
Fax Number
person
Provider Business Mailing Address Details
Address
126 Avocado Ave Ste 102
City
Perris
State
California
Zip
92571-2605
Phone Number
951-943-8110
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
A25955 (California)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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