Provider Demographics
NPI:1306033113
Name:BORBA, JULIE YASUDA (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:YASUDA
Last Name:BORBA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JULIE
Other - Middle Name:MARIE
Other - Last Name:YASUDA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:12401 WASHINGTON BLVD
Mailing Address - Street 2:ADULT HOSPITALIST
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90602-1006
Mailing Address - Country:US
Mailing Address - Phone:310-698-0811
Mailing Address - Fax:562-789-5473
Practice Address - Street 1:12401 WASHINGTON BLVD
Practice Address - Street 2:ADULT HOSPITALIST
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90602-1006
Practice Address - Country:US
Practice Address - Phone:310-698-0811
Practice Address - Fax:562-789-5473
Is Sole Proprietor?:No
Enumeration Date:2007-09-26
Last Update Date:2016-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA107223207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine