Provider Demographics
NPI:1235628736
Name:BORINI, ERIN DANIELLE (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:DANIELLE
Last Name:BORINI
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6501 GREENLEAF AVE
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90601-4108
Mailing Address - Country:US
Mailing Address - Phone:562-464-5777
Mailing Address - Fax:562-464-5888
Practice Address - Street 1:6501 GREENLEAF AVE
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90601-4108
Practice Address - Country:US
Practice Address - Phone:562-464-5777
Practice Address - Fax:562-464-5888
Is Sole Proprietor?:No
Enumeration Date:2018-05-09
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17097363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant