Individual
BURN PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19085 COLIMA ROAD, ROWLAND HEIGHTS, CA 91748
(626) 964-5001
(626) 964-2030
Mailing address
19085 COLIMA ROAD, ROWLAND HEIGHTS, CA 91748
(626) 964-5001
(626) 964-2030
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
A32222
CA
Other
Enumeration date
10/15/2007
Last updated
12/07/2010
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