# BURN PARK M D INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033142237
- **Authorized official:** DR. BURN PARK M.D. (PRESIDENT)
- **Authorized official phone:** (626) 964-5001

## Contact information

- **Practice address:** 19085 COLIMA RD, ROWLAND HEIGHTS, CA 91748-2953
- **Practice address phone:** (626) 964-5001
- **Practice address fax:** (626) 964-2030
- **Mailing address:** 19085 COLIMA RD, ROWLAND HEIGHTS, CA 91748-2953
- **Mailing address phone:** (626) 964-5001
- **Mailing address fax:** (626) 964-2030

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | A32222 | CA | Yes |

## Other

- **Enumeration date:** 07/09/2006
- **Last updated:** 12/10/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00A322220 | — | CA |