Organization
MONTE CARL BURNAM PHYSICIAN ASSISTANT PROFESSIONAL CORPORATION
Active
Organization
MONTE CARL BURNAM PHYSICIAN ASSISTANT PROFESSIONAL CORPORATION
Active
Other names
Primary Care Skin Solutions By Physician Assistants and Medical Doctor
Organization subpart
No
Provider details
NPI number
Authorized official
MONTE CARL BURNAM PA (PRESIDENT)
(323) 360-1864
Entity
Organization
Contact information
Practice address
1145 E AMELIA DR, LONG BEACH, CA 90807-2403
(323) 360-1864
Mailing address
1145 E AMELIA DR, LONG BEACH, CA 90807-2403
(323) 360-1864
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10764
CA
Other
Enumeration date
09/28/2010
Last updated
09/28/2010
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