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DR. MARTIN B BORISSOV MD
NPI 1669174694
Student in an Organized Health Care Education/Training Program in Los Alamitos, CA

Active since March 21, 2023
4452 HOWARD AVE UNIT 112, LOS ALAMITOS, CA 90720(213) 261-6654 Get Directions Write a Review

NPPES record last updated: March 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Martin B Borissov Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARTIN B BORISSOV MD (NPI 1669174694) is an individual student in an organized health care education/training program in Los Alamitos, California and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1669174694
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. MARTIN B BORISSOVCredential: MD
Location Address4452 HOWARD AVE UNIT 112Los Alamitos, CA 90720-3793
Mailing Address4452 Howard Ave Unit 112Los Alamitos, CA 90720-3793 · (213) 261-6654
Phone(213) 261-6654
Sole ProprietorYes
Enumeration DateMarch 21, 2023
NPPES CertifiedMarch 21, 2023
✔ NPI 1669174694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4452 HOWARD AVE UNIT 112, Los Alamitos, CA 90720
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Martin Borissov's NPI number?

The NPI number for Martin Borissov is 1669174694. It was assigned to this individual provider in the NPPES registry on March 21, 2023.

Where is Martin Borissov located?

Martin Borissov practices at 4452 Howard Ave Unit 112, Los Alamitos, CA 90720. The listed phone number is (213) 261-6654.

What is Martin Borissov's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Martin Borissov was last updated on March 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.