| Akeem Rashad Borom, PA-C | |
|
302 W La Veta Ave Ste 202, Orange, CA 92866-2607 | |
| (714) 545-5550 | |
| Not Available |
| Full Name | Akeem Rashad Borom |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 302 W La Veta Ave Ste 202, Orange, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316679822 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA64553 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Shilpa Diwan Md Inc | 5890023980 | 5 |
| Entity Name | Open Door Community Health Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497840656 PECOS PAC ID: 9436067485 Enrollment ID: O20040414000890 |
| Entity Name | Shilpa Diwan MD Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902458524 PECOS PAC ID: 5890023980 Enrollment ID: O20190828000707 |
| Mailing Address | Practice Location Address |
|---|---|
| Akeem Rashad Borom, PA-C 19782 Macarthur Blvd Ste 300, Irvine, CA 92612-2417 Ph: (714) 545-5550 | Akeem Rashad Borom, PA-C 302 W La Veta Ave Ste 202, Orange, CA 92866-2607 Ph: (714) 545-5550 |
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