Individual
DR. ANDREW CHARLES BURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20505 CRESCENT BAY DR, LAKE FOREST, CA 92630-8825
(714) 726-9565
Mailing address
20505 CRESCENT BAY DR, LAKE FOREST, CA 92630-8825
(714) 726-9565
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A43765
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A437650
—
CA
Enumeration date
10/18/2006
Last updated
09/25/2024
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