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Contact Information

MAURICE BURGE, CADC-I
1172 THIRD AVE
CHULA VISTA, CA91911-3116
 Phone: 619-354-4053
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
 

Pastoral

101YP1600X
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for MAURICE BURGE · (Male)

NPI # 1427570787
Status Active
Credentials CADC-I
Entity Individual
Enumeration date 07/07/2017
Last updated 04/02/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # CI28241019
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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