Mark S Borchert, M.D.
Ophthalmology in Los Angeles, CA. Individual provider (NPI-1).
NPI number1548200082
StatusActive
Last updated in NPPESOct 23, 2020
Details
- NPI
- 1548200082
- Entity type
- Individual (NPI-1)
- Name
- Mark S Borchert
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 6, 2006
- Certification date
- Oct 23, 2020
- Last updated
- Oct 23, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OPHTHALMOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | C41974 | CA | Yes |
| 207W00000X | Ophthalmology | 53565 | MA |
Practice location
4650 W Sunset BlvdLos Angeles, CA 90027-6062
Phone 213-669-4510
Mailing address
4821 Carmel RdLa Canada, CA 91011-2708
Phone 213-669-4510
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