Basic Information
| Provider Information | |||||||||
| NPI: | 1871082214 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BORGHEI | ||||||||
| FirstName: | SABA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | PH.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2790 SKYPARK DR STE 205 | ||||||||
| Address2: | |||||||||
| City: | TORRANCE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 905055345 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3108553990 | ||||||||
| FaxNumber: | 4242767676 | ||||||||
| Practice Location | |||||||||
| Address1: | 2790 SKYPARK DR STE 205 | ||||||||
| Address2: | |||||||||
| City: | TORRANCE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 905055345 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3108553990 | ||||||||
| FaxNumber: | 4242767676 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/01/2018 | ||||||||
| LastUpdateDate: | 09/02/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/02/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | PSB94023999 | CA | Y | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.