Healthcare Provider Details

I. General information

NPI: 1972977569
Provider Name (Legal Business Name): BORPAN MONITORING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2015
Last Update Date: 07/15/2020
Certification Date: 07/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7000 N 16TH STREET STE 120 # 281
PHOENIX AZ
85020
US

IV. Provider business mailing address

7000 N 16TH STREET STE 120 # 281
PHOENIX AZ
85020
US

V. Phone/Fax

Practice location:
  • Phone: 480-758-3083
  • Fax:
Mailing address:
  • Phone: 480-758-3083
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code204R00000X
TaxonomyElectrodiagnostic Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2084N0600X
TaxonomyClinical Neurophysiology Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code246ZE0600X
TaxonomyElectroneurodiagnostic Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name: FELICIA ALDERETE
Title or Position: PARALEGAL
Credential:
Phone: 512-638-3352