Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | G56910 | CA |
NPI | 1013958545 |
---|---|
Provider Name | Dr. Robert J Borrowdale |
First Address | Irvine, CA 92602-2410 |
Second Address | Santa Ana, CA 92701-4686 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2006 |
Last Update Date | 15/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G569100 | (05) | CA |
D20847 | (02) | CA |