Most Relevant Information
Provider Data
| NPI Number: | 1003500711 |
| Provider Name: | MCKENNA BORRAS |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/06/2023 |
| Last Updated: | 06/06/2023 |
Provider Practice Location
1000 VETERAN AVE
LOS ANGELES
CA
900242704
Practice Location Phone/Fax
| Phone: | 3108256110 |
| Fax: |
Provider Mailing Location
2215 ALCAZAR ST
LOS ANGELES
CA
900331003
Provider Mailing Phone/Fax
| Phone: | 4088936323 |
| Fax: |