Individual
EDMUND BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1975 4TH ST, SAN FRANCISCO, CA 94143-2351
(415) 514-1521
Mailing address
3701 WILSHIRE BLVD STE 600, LOS ANGELES, CA 90010-2814
(323) 361-3550
(323) 361-8052
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
A142776
CA
2080P0202X
Pediatric Cardiology Physician
A142776
CA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
A142776
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/27/2010
Last updated
06/28/2021
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