Organization
PACIFIC PEDIATRIC CARDIOLOGY MEDICAL GROUP INC
Active
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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