Individual
MICHAEL SCOTT BURNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
5888 EDINGER AVE, HUNTINGTON BEACH, CA 92649-1705
(714) 377-7469
Mailing address
PO BOX 90426, LONG BEACH, CA 90809-0426
(562) 421-0122
(562) 421-2335
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA13038
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA13038
STATE LICENSE NUMBER
CA
Enumeration date
08/01/2006
Last updated
07/08/2007
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