Organization
MICHAEL H. BURNAM, M.D. A MEDICAL CORP
Active
Parent organization
MICHAEL H. BURNAM, M.D. A MEDICAL CORP.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MICHAEL H. BURNAM, M.D. A MEDICAL CORP.
Authorized official
DR. MICHAEL HOWARD BURNAM MD (OWNER)
(818) 609-7677
Entity
Organization
Contact information
Practice address
5525 ETIWANDA AVE., SUITE #220, TARZANA, CA 91356-6121
(818) 609-7677
(818) 609-0295
Mailing address
5525 ETIWANDA AVE., SUITE #220, TARZANA, CA 91356-6121
(818) 609-7677
(818) 609-0295
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A25295
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A252950
—
CA
05
—
A24367
—
CA
Enumeration date
12/22/2008
Last updated
12/22/2008
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