Provider Demographics
NPI:1730356353
Name:BORAZJANI, BORIS H (MD,MPH)
Entity type:Individual
Prefix:DR
First Name:BORIS
Middle Name:H
Last Name:BORAZJANI
Suffix:
Gender:M
Credentials:MD,MPH
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:35 E GLENARM ST
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91105-3418
Mailing Address - Country:US
Mailing Address - Phone:626-768-4415
Mailing Address - Fax:626-403-0321
Practice Address - Street 1:11550 INDIAN HILLS RD STE 310
Practice Address - Street 2:
Practice Address - City:MISSION HILLS
Practice Address - State:CA
Practice Address - Zip Code:91345-1203
Practice Address - Country:US
Practice Address - Phone:818-898-4900
Practice Address - Fax:818-898-4990
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-13
Last Update Date:2013-07-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA90161208600000X, 2086S0127X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery