Dr Larry Burbridge, DO | |
654 Camino De Los Mares, Emergency Department, San Clemente, CA 92673-2827 | |
(949) 489-4516 | |
Not Available |
Full Name | Dr Larry Burbridge |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 654 Camino De Los Mares, San Clemente, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346327053 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 20A5489 (California) | Primary |
Entity Name | Cep America - California |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548667843 PECOS PAC ID: 6103739131 Enrollment ID: O20040121000458 |
Mailing Address | Practice Location Address |
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Dr Larry Burbridge, DO 654 Camino De Los Mares, Emergency Department, San Clemente, CA 92673-2827 Ph: () - | Dr Larry Burbridge, DO 654 Camino De Los Mares, Emergency Department, San Clemente, CA 92673-2827 Ph: (949) 489-4516 |
Seric Cusick, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1713 S Ola Vis, San Clemente, CA 92672 Phone: 707-812-2983 | |
Christopher Melville, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 210 Calle Potro, San Clemente, CA 92672 Phone: 949-366-9132 | |
Scott Lawrence Ryan, BVMS Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1833 S El Camino Real, San Clemente, CA 92672 Phone: 949-492-5777 | |
Hubert E Wong, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 654 Camino De Los Mares, San Clemente, CA 92673 Phone: 330-493-4443 Fax: 330-493-8677 | |
Rajesh Kadakia, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 910 S El Camino Real Ste A, San Clemente, CA 92672 Phone: 949-492-4994 | |
Timothy O Roham, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 629 Camino De Los Mares, Suite # 103, San Clemente, CA 92673 Phone: 949-248-1900 Fax: 949-248-1956 |