05D0556967 CLIA NUMBER - MICHAEL E BOROK MD

Laboratory Demographics

CLIA Number: 05D0556967

Facility Name: MICHAEL E BOROK MD

Facility Address:
17075 DEVONSHIRE ST, STE 203
NORTHRIDGE, CA
ZIP 91325
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Facility Phone Number: (818) 832-7898

Facility Type: PHYSICIAN OFFICE

Certificate Type: Certificate of Compliance

NPI Number: 1275962565

Taxonomy: 106H00000X - Marriage & Family Therapist
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

CLIA Record

Field Name Field Value
CLIA Number 05D0556967
LAB Type PHYSICIAN OFFICE
Facility Name MICHAEL E BOROK MD
Street 17075 DEVONSHIRE ST, STE 203
City NORTHRIDGE
State CA
ZIP 91325
Phone (818) 832-7898

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This page was last updated on: 5/11/2023