Organization
BRUCE T BURTON, MD A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE T BURTON M.D. (PRESIDENT)
(800) 883-7243
Entity
Organization
Contact information
Practice address
1441 AVOCADO AVE, SUITE 103, NEWPORT BEACH, CA 92660-7702
(949) 999-3600
(949) 999-3648
Mailing address
450 NEWPORT CENTER DRIVE, SUITE 650, NEWPORT BEACH, CA 92660-7641
(949) 999-3600
(949) 999-8365
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G42650
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G426500
—
CA
Enumeration date
10/19/2006
Last updated
01/25/2021
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