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Contact Information

64 BURNSIDE MEDICAL CONSULTING LLC
70 THOROUGHBRED
IRVINE, CA92602-1829
 Phone: 201-207-6475
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for 64 BURNSIDE MEDICAL CONSULTING LLC

NPI Number 1457884504
LBN Legal business name 64 BURNSIDE MEDICAL CONSULTING LLC
Authorized official PAUL CHOI - (OWNER/CONSULTANT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/06/2017
Last updated 04/06/2017 - About 2 years ago
Identifiers
CA License # A119603
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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