Individual
BRIAN WALTER VAN DEN BURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14445 OLIVE VIEW DRIVE, 2B-182, OLIVE VIEW - UCLA MEDICAL CENTER, SYLMAR, CA 91342
(818) 364-3205
Mailing address
14445 OLIVE VIEW DRIVE, 2B-182, OLIVE VIEW - UCLA MEDICAL CENTER, SYLMAR, CA 91342
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A115726
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/26/2009
Last updated
12/23/2019
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