Organization Name: | LAWRENCE N BORELLI, M.D. |
NPI Number: | 1487968509 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NICHELLE CHRISTINE VASQUEZ (OFFICE MANAGER) |
Mailing Address: | 1220 La Venta Dr Suite 201 Westlake Village |
State: | CA US |
Postal Code: | 913613703 |
Phone Number: | 8053811953 |
Fax Number: | 8053811079 |
NPI Enumeration Date: | 07/30/2010 |
NPI Last Update Date: | 06/23/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | G25506 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |