Individual
DR. DANIEL BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
477 N EL CAMINO REAL STE C204, ENCINITAS, CA 92024-1332
(858) 207-3117
Mailing address
10903 DERRYDOWN WAY, SAN DIEGO, CA 92130-2898
(610) 573-4707
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
20A18163
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/20/2014
Last updated
07/07/2020
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