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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. EDDIE REGINALD BURSTON II

Active Sole Proprietor

MR. EDDIE REGINALD BURSTON II is a In Home Supportive Care Agency healthcare provider located in SAN DIEGO, California. NPI 1376034348 is currently active in the NPPES registry. Verify at CMS.

In Home Supportive Care Agency · SAN DIEGO, CA

Registration Details

NPI Number
1376034348
Provider Type
Individual
Gender
Male
NPI Issued
May 24, 2018 (8.2607894204872 yrs)
Last Updated
May 24, 2018
Licenses
B8163X (MI)
7516084757 (CA)
Sole Proprietor
Yes

Practice Information

Address
12727 CAMINO EMPARRADO
SAN DIEGO, CA, 92128
Browse CA providers · Browse ZIP 92128
Phone
8582659992
Fax
8587985221
Primary Specialty
In Home Supportive Care Agency
253Z00000X

Other In Home Supportive Care Agency Providers in SAN DIEGO, CA

Name Credential NPI
MR. ADDIS ALEM HIKSSA RCFE ADMINISTRATOR 1063814887
LINDA S HAYES 1528753977
MS. LINDSAY ERIN POLIS 1639900426
MELIZA BRIDGET MACIEL MUNOZ 1578371639
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.