Eliza Bourke, is a
Rehabilitation Practitioner based in San Diego, California. Eliza Bourke is licensed to practice in * (Not Available) (license number ) and current practice location is
1260 Morena Blvd Ste 2, San Diego, California. can be reached at office (for appointments etc.) via phone at
(619) 398-3261.
NPI number for Eliza Bourke is 1639997927 and current mailing address is 1260 Morena Blvd Ste 200, San Diego, California.
does not participate in medicare program and thus does not accept medicare assignments. NPI Number is 1639997927.
Healthcare Provider's Profile
Full Name | Eliza Bourke |
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Gender | |
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Speciality | Rehabilitation Practitioner |
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Location | 1260 Morena Blvd Ste 2, San Diego, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. may not accept medicare assignment. |
NPI Data:
- NPI Number: 1639997927
- Provider Enumeration Date: 09/26/2024
- Last Update Date: 05/12/2025
Medical Identifiers
Medical identifiers for Eliza Bourke such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639997927 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | A15666 (Oregon) | Secondary |
225400000X | Rehabilitation Practitioner | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Eliza Bourke is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Eliza Bourke, 1260 Morena Blvd Ste 200, San Diego, CA 92110-3850 Ph: (619) 323-7271 | Eliza Bourke, 1260 Morena Blvd Ste 2, San Diego, CA 92110-3889 Ph: (619) 398-3261 |
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