Burstein Md, A Professional Corporation | |
24013 Ventura Blvd # 101 Calabasas CA 91302-1094 | |
(818) 222-2443 | |
(818) 222-2491 |
Full Name | Burstein Md, A Professional Corporation |
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Speciality | Pediatrics |
Location | 24013 Ventura Blvd # 101, Calabasas, California |
Authorized Official Name and Position | Marina Burstein (PRESIDENT) |
Authorized Official Contact | 8182222443 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Burstein Md, A Professional Corporation 24013 Ventura Blvd # 101 Calabasas CA 91302-1094 Ph: (818) 222-2443 | Burstein Md, A Professional Corporation 24013 Ventura Blvd # 101 Calabasas CA 91302-1094 Ph: (818) 222-2443 |
NPI Number | 1093808933 |
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Provider Enumeration Date | 10/02/2006 |
Last Update Date | 11/01/2010 |
Medicare PECOS PAC ID | 2163477324 |
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Medicare Enrollment ID | O20050321000734 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093808933 | NPI | - | NPPES |
00A536040 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A53328 (California) | Secondary |
208000000X | Pediatrics | A53604 (California) | Primary |
Provider Name | Samuel Burstein |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1124037155 PECOS PAC ID: 0244285336 Enrollment ID: I20050322000629 |
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