Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. FRED HURD BURBANK, M.D.
Active Sole ProprietorDR. FRED HURD BURBANK, M.D. is a Therapeutic Radiology healthcare provider located in DANA POINT, California. NPI 1871852236 is currently active in the NPPES registry. Verify at CMS.
Therapeutic Radiology · DANA POINT, CA
Registration Details
- NPI Number
- 1871852236
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 4, 2012 (14.098111291527 yrs)
- Last Updated
- May 4, 2012
- Licenses
-
G16735 (CA)G16735 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
24040 CAMINO DEL AVIONA326DANA POINT, CA, 926294005Browse CA providers · Browse ZIP 92629
- Phone
- 9494960026
- Fax
- 9494963247
- Primary Specialty
-
Therapeutic Radiology
2085R0204X
- Additional Specialty
- Therapeutic Radiology
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.