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NPI Code Detail

MEDICARE: MR. SOLOMON ANTHONY BORUNDA

MEDICARE: MR. SOLOMON ANTHONY BORUNDA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1373H00000XDay Training/Habilitation Specialist

General Provider Information

NPI Number : 1497622849
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. SOLOMON ANTHONY BORUNDA
Provider Business Mailing Address
First Line : 3737 N BLACKSTONE AVE
Second Line :
City : FRESNO
State : CA
Zip : 93726-5323
Country : US
Telephone Number : 559-939-5999
Fax Number :
Provider Business Practice Location Address
First Line : 3737 N BLACKSTONE AVE
Second Line :
City : FRESNO
State : CA
Zip : 93726-5323
Country : US
Telephone Number : 559-939-5999
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2025
Last Update Date : 12/11/2025

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Directions to “ MR. SOLOMON ANTHONY BORUNDA ” Practice Location

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