BORWORN RATTIDHAM,MD.,P.C.
Ambulatory Health at Avocado Ave, Perris, CA

License number
California A25955
Category
Ambulatory Health
Type
Medical Specialty
Owner
Name: DR. BORWORN RATTIDHAM M.D.
Title: PRESIDENT
Phone: (951) 943-8110
Address
Address
126 Avocado Ave STE 102, Perris, CA 92571
National Provider ID: 1689865776
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about BORWORN RATTIDHAM,MD.,P.C. at bizstanding.com

BORWORN RATTIDHAM, M.D., A PROFESSIONAL CORPORATION

126 Avocado Ave STE 102, Perris, CA 92571

Status:
Inactive
Registration:
Oct 18, 1983
State ID:
C1229851
Business type:
Articles of Incorporation
President:
Borworn Rattidham President, inactive
Agent:
Khom Chais,Covina, CA 91723 (Physical)

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