Provider Demographics
NPI:1376977744
Name:BORJA, ANDRES
Entity Type:Individual
Prefix:MR
First Name:ANDRES
Middle Name:
Last Name:BORJA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25742 VAN LEUVEN ST
Mailing Address - Street 2:
Mailing Address - City:LOMA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92354-2508
Mailing Address - Country:US
Mailing Address - Phone:909-835-3055
Mailing Address - Fax:
Practice Address - Street 1:3801 UNIVERSITY AVE
Practice Address - Street 2:SUITE 400
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92501-3247
Practice Address - Country:US
Practice Address - Phone:951-955-7118
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-21
Last Update Date:2013-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker