Organization
BURN PARK M D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BURN PARK M.D. (PRESIDENT)
(626) 964-5001
Entity
Organization
Contact information
Practice address
19085 COLIMA RD, ROWLAND HEIGHTS, CA 91748-2953
(626) 964-5001
(626) 964-2030
Mailing address
19085 COLIMA RD, ROWLAND HEIGHTS, CA 91748-2953
(626) 964-5001
(626) 964-2030
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
A32222
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A322220
—
CA
Enumeration date
07/09/2006
Last updated
12/10/2010
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