Healthcare Provider Details

I. General information

NPI: 1811803505
Provider Name (Legal Business Name): KLARISSA JOHANNA BORBOA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

57 RUSSELL RD
SALINAS CA
93906-4325
US

IV. Provider business mailing address

440 RAMONA AVE APT 18
MONTEREY CA
93940-4064
US

V. Phone/Fax

Practice location:
  • Phone: 831-443-7200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number9518
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: