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Individual

DR. CHARLES JOEL BURSTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8631 W 3RD ST, SUITE 1015E, LOS ANGELES, CA 90048-5901
(424) 230-5377
(310) 358-2266
Mailing address
8631 W 3RD ST, SUITE 1015E, LOS ANGELES, CA 90048-5901
(424) 230-5377
(310) 358-2266

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A20389
CA
207RN0300X
Nephrology Physician
A20389
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A203890
CA
Enumeration date
11/09/2006
Last updated
08/05/2019
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