Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BURN PARK, M.D.
Active Sole ProprietorBURN PARK, M.D. is a Geriatric Medicine healthcare provider located in ROWLAND HEIGHTS, California. NPI 1912196056 is currently active in the NPPES registry. Verify at CMS.
Geriatric Medicine · ROWLAND HEIGHTS, CA
Registration Details
- NPI Number
- 1912196056
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 15, 2007 (18.876552574089 yrs)
- Last Updated
- Dec 7, 2010
- License
-
A32222 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
19085 COLIMA ROADROWLAND HEIGHTS, CA, 91748Browse CA providers · Browse ZIP 91748
- Phone
- 6269645001
- Fax
- 6269642030
- Primary Specialty
-
Geriatric Medicine
207QG0300X
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.