| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 11/01/2010 |
| Medicare PECOS PAC ID | 2163477324 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124037155 PECOS PAC ID: 0244285336 Enrollment ID: I20050322000629 |
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