Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | C-30034 | CA |
NPI | 1194997759 |
---|---|
Provider Name | Dr. Istvan Borocz |
First Address | Orinda, CA 94563-2720 |
Second Address | Orinda, CA 94563-2720 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2008 |
Last Update Date | 24/03/2008 |