Organization
PACIFIC PEDIATRIC CARDIOLOGY MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LENNIS BURKE MD (PRESIDENT)
(626) 796-9259
Entity
Organization
Contact information
Practice address
50 BELLEFONTAINE ST STE 405, PASADENA, CA 91105-3132
(626) 796-9259
(626) 449-8560
Mailing address
50 BELLEFONTAINE ST STE 405, PASADENA, CA 91105-3132
(626) 796-9259
(626) 449-8560
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0086740
—
CA
01
—
ZZZ609882
BCBS
CA
Enumeration date
12/13/2005
Last updated
12/30/2025
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