Individual provider · Type 1 NPI

Mauricio Borda, MD

Student in an Organized Health Care Education/Training Program · Oakland, CA

NPI number 1124311097 Active

Practice location

3421 Telegraph Ave, Suite B
Oakland, CA 94609-3002

Call (510) 500-5124 Map

Fax (510) 380-6122

Mailing address

111 E 210th St
Bronx, NY 10467-2401

Other practice locations

  • 111 E 210th St, Bronx, NY 10467-2401 · (718) 920-4976

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst 103K00000X0-12-5143 (FL)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1124311097

Mauricio Borda, MD's National Provider Identifier is 1124311097, issued on May 25, 2011. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Oakland, CA. The record was last updated on Jan 1, 2021.