Provider Demographics
NPI:1508948068
Name:BOROUKHIM, SILVANA (MD)
Entity Type:Individual
Prefix:DR
First Name:SILVANA
Middle Name:
Last Name:BOROUKHIM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 S STATE COLLAGE
Mailing Address - Street 2:STE.#150
Mailing Address - City:BREA
Mailing Address - State:CA
Mailing Address - Zip Code:92821
Mailing Address - Country:US
Mailing Address - Phone:714-577-5400
Mailing Address - Fax:714-577-5450
Practice Address - Street 1:120 S STATE COLLAGE
Practice Address - Street 2:STE.#150
Practice Address - City:BREA
Practice Address - State:CA
Practice Address - Zip Code:92821
Practice Address - Country:US
Practice Address - Phone:714-577-5400
Practice Address - Fax:714-577-5450
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2018-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA0536272084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry