Provider Demographics
NPI:1932130481
Name:BOROVSKY, VICTORIA (MD)
Entity Type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:
Last Name:BOROVSKY
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 1:17777 VENTURA BLVD
Mailing Address - Street 2:SUITE 209
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91316-3736
Mailing Address - Country:US
Mailing Address - Phone:818-527-9559
Mailing Address - Fax:818-287-8587
Practice Address - Street 1:17777 VENTURA BLVD
Practice Address - Street 2:SUITE 209
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91316-3736
Practice Address - Country:US
Practice Address - Phone:818-527-9559
Practice Address - Fax:818-287-8587
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA82605207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA82605OtherSTATE LICENSE NUMBER