DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: LISA M BORNMANN P.A.-C

MEDICARE: LISA M BORNMANN P.A.-C
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
1363A00000XPhysician AssistantPA14381CA

General Provider Information

NPI Number : 1083729891
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA M BORNMANN P.A.-C
Provider Business Mailing Address
First Line : 2100 POWELL ST
Second Line : SUITE 900
City : EMERYVILLE
State : CA
Zip : 94608-1826
Country : US
Telephone Number : 510-350-2600
Fax Number :
Provider Business Practice Location Address
First Line : 36485 INLAND VALLEY DR
Second Line :
City : WILDOMAR
State : CA
Zip : 92595-9681
Country : US
Telephone Number : 909-677-9773
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2006
Last Update Date : 07/08/2007

Similar Medicare Providers

1063477461 — MEDICAL LABORATORY SERVICES MEDICAL GROUP, INC.
Practice Location Address:
36485 INLAND VALLEY DR
WILDOMAR, CA
92595-9681
Practice Phone: 760-731-3334
Practice Fax:
1194777235 — DUSTIN COYLE MD
Practice Location Address:
36485 INLAND VALLEY DR
WILDOMAR, CA
92595-9681
Practice Phone: 951-677-1111
Practice Fax:
1245283217 — NORTH COAST IMAGING RADIOLOGY MEDICAL GROUP, INC.
Practice Location Address:
36485 INLAND VALLEY DR
WILDOMAR, CA
92595-9681
Practice Phone: 951-677-9713
Practice Fax: 951-677-9762
1508808544 — DR. A ALEX DAVILA M.D.
Practice Location Address:
36485 INLAND VALLEY DR
WILDOMAR, CA
92595-9681
Practice Phone: 951-677-9773
Practice Fax:
1194768663 — JULIE MARIE SHRYOCK ELIAS P.A.
Practice Location Address:
36485 INLAND VALLEY DR
WILDOMAR, CA
92595-9681
Practice Phone: 951-304-7187
Practice Fax:
1487698114 — ZELJKA HELENA KOSTICH M.D
Practice Location Address:
36485 INLAND VALLEY DR
WILDOMAR, CA
92595-9681
Practice Phone: 951-677-1111
Practice Fax:

Directions to “ LISA M BORNMANN P.A.-C” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.