Organization Active NPI

George Boris, M.D. a Medical Corporation

  • Otolaryngology/Facial Plastic Surgery Physician
  • Culver City, CA
National Provider Identifier
1942506027
Registry record updated Feb 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
G27267 Issued in CA
Legal business name
GEORGE BORIS, M.D. A MEDICAL CORPORATION
Practice address
9700 Venice Blvd
Culver City, CA 90232-2717
Phone
(310) 204-5822
Fax
(310) 204-2477
NPI assigned
Feb 7, 2011
Last updated
Feb 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
George Boris, M.D.NPI 1699833996
Title
Owner / M.D.
Phone
(310) 204-5822

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X G27267 CA Primary

Addresses

Primary practice location

9700 Venice Blvd
Culver City, CA 90232-2717

Mailing address

9700 Venice Blvd
Culver City, CA 90232-2717
Phone (310) 204-5822

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1297036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297036800000",
    "number": "1942506027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 VENICE BLVD",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322717",
            "telephone_number": "310-204-5822",
            "fax_number": "310-204-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 VENICE BLVD",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322717",
            "telephone_number": "310-204-5822",
            "fax_number": "310-204-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE BORIS, M.D. A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-07",
        "last_updated": "2011-02-07",
        "status": "A",
        "authorized_official_last_name": "BORIS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER / M.D.",
        "authorized_official_telephone_number": "310-204-5822",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "CA",
            "license": "G27267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.