Individual
KARL S BURGOYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 W CARSON ST, BOX 8, TORRANCE, CA 90502-2004
(310) 222-3135
(310) 320-6973
Mailing address
1000 W CARSON ST, BOX 480, TORRANCE, CA 90502-2004
(310) 222-3135
(310) 320-6973
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G67828
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G678280
—
CA
Enumeration date
12/12/2006
Last updated
07/09/2007
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