Organization · Type 2 NPI

Borworn Rattidham,md.,p.c.

Medical Specialty Clinic/Center · Perris, CA

NPI number 1689865776 Active

Practice location

126 Avocado Ave Ste 102
Perris, CA 92571-2605

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500XA25955 (CA)

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

Another provider at this address

About NPI 1689865776

Borworn Rattidham,md.,p.c.'s National Provider Identifier is 1689865776, issued on Aug 5, 2007. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Perris, CA. The record was last updated on Aug 5, 2007.