| Burke Infectious Diseases | |
|
2095 W Vista Way Ste 216 Vista CA 92083-6029 | |
| (619) 289-9239 | |
| (619) 215-5875 |
| Full Name | Burke Infectious Diseases |
|---|---|
| Speciality | Internal Medicine |
| Location | 2095 W Vista Way Ste 216, Vista, California |
| Authorized Official Name and Position | Hayden Burke (OWNER) |
| Authorized Official Contact | 7608159425 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Burke Infectious Diseases 1848 Freda Ln Cardiff CA 92007-1415 Ph: (760) 815-9425 | Burke Infectious Diseases 2095 W Vista Way Ste 216 Vista CA 92083-6029 Ph: (619) 289-9239 |
| NPI Number | 1235983107 |
|---|---|
| Provider Enumeration Date | 04/16/2024 |
| Last Update Date | 10/30/2024 |
| Medicare PECOS PAC ID | 9335580554 |
|---|---|
| Medicare Enrollment ID | O20240517002937 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235983107 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Hayden Burke |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1902154420 PECOS PAC ID: 8426323304 Enrollment ID: I20171003004370 |
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