Provider Demographics
NPI:1679341200
Name:BORJAS, REBECCA (MS, RD)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:BORJAS
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25711 BETH DR
Mailing Address - Street 2:
Mailing Address - City:MENIFEE
Mailing Address - State:CA
Mailing Address - Zip Code:92584-5012
Mailing Address - Country:US
Mailing Address - Phone:541-430-8711
Mailing Address - Fax:
Practice Address - Street 1:25711 BETH DR
Practice Address - Street 2:
Practice Address - City:MENIFEE
Practice Address - State:CA
Practice Address - Zip Code:92584-5012
Practice Address - Country:US
Practice Address - Phone:541-430-8711
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-13
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered