Individual
DR. JOSEPH WESLEY BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11980 SAN VICENTE BLVD, SUITE 620, LOS ANGELES, CA 90049-6604
(310) 442-0177
Mailing address
11980 SAN VICENTE BLVD, SUITE 620, LOS ANGELES, CA 90049-6604
(310) 442-0177
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
Primary
G66183
CA
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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