Individual
DR. FRED HURD BURBANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
24040 CAMINO DEL AVION, A326, DANA POINT, CA 92629-4005
(949) 496-0026
(949) 496-3247
Mailing address
24040 CAMINO DEL AVION, A326, DANA POINT, CA 92629-4005
(949) 496-0026
(949) 496-3247
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
G16735
CA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
G16735
CA
Other
Enumeration date
05/04/2012
Last updated
05/04/2012
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