Bordelon, Yvette M
Bordelon, Yvette M is an individual health care provider with primary practice located at 127 S San Vicente Blvd Ste A6600 , Los Angeles CA 90048-3311. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Bordelon, Yvette M can be contacted via phone (310) 423-6472.Contact Information
Primary practice address
127 S San Vicente Blvd Ste A6600
Los Angeles CA 90048-3311
Phone: (310) 423-6472
Fax: (310) 423-0148
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | A89162 | California |
Profile Details
| NPI number | 1922023449 |
|---|---|
| LBN Legal business name | Bordelon, Yvette M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2006 |
| Last updated | Nov 14th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922023449 | NPPES |
| California | MEDICAID | 00A891620 |
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