Borirakchanyavat, Kesara

Borirakchanyavat, Kesara is an individual health care provider with primary practice located at 13652 Cantara St , Panorama City CA 91402-5423. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Borirakchanyavat, Kesara can be contacted via phone (818) 375-3030.

Contact Information

Primary practice address
13652 Cantara St Panorama City CA 91402-5423
Phone: (818) 375-3030
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X A76396 California

Profile Details

NPI number 1962580506
LBN Legal business name Borirakchanyavat, Kesara
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Nov 29th, 2021 - about 5 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 1962580506 NPPES
California MEDICAID 00A763960

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