Boorman, Anita

Boorman, Anita is an individual health care provider with primary practice located at 9930 Talbert Ave. , Fountain Valley CA 92708. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Boorman, Anita can be contacted via phone (714) 964-6229.

Contact Information

Primary practice address
9930 Talbert Ave. Fountain Valley CA 92708
Phone: (714) 964-6229
Fax: (714) 378-6233
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 20A7268 California

Profile Details

NPI number 1720083447
LBN Legal business name Boorman, Anita
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Sep 22nd, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720083447 NPPES
California Other 0020A72680 MEDI CAL #

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