Individual
MICHAEL H BURNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5525 ETIWANDA AVENUE SUITE 22, TARZANA, CA 91356
(818) 609-7677
(818) 609-0295
Mailing address
5525 ETIWANDA AVENUE SUITE 22, TARZANA, CA 91356
(818) 609-7677
(818) 609-0295
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A25295
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A252950
—
CA
01
—
P00229708
MEDICARE RAILROAD
—
Enumeration date
11/14/2006
Last updated
07/08/2007
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