Individual
JEREMIAH DANIEL BURNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
35800 BOB WILSON DR, SAN DIEGO, CA 92134-0001
(619) 532-8910
Mailing address
35800 BOB WILSON DR, SAN DIEGO, CA 92134-0001
(559) 410-8214
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101238907
VA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
C193570
CA
Other
Enumeration date
01/27/2007
Last updated
03/27/2026
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