Organization
CHARLES JOEL. BURSTIN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES JOEL BURSTIN M.D. (PRESIDENT)
(424) 230-5377
Entity
Organization
Contact information
Practice address
8631 W 3RD ST, SUITE 1015E, LOS ANGELES, CA 90048-5901
(424) 230-5377
(310) 358-2266
Mailing address
8631 W 3RD ST, SUITE 1015E, LOS ANGELES, CA 90048-5901
(424) 230-5377
(310) 358-2266
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A20389
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A203890
—
CA
01
—
111586575
MEDICARE RAILROAD
—
Enumeration date
03/01/2007
Last updated
03/02/2016
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