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NPI Code Detail

MEDICARE: DR. GIANFRANCO BURDI M.D.

MEDICARE:  DR. GIANFRANCO  BURDI  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry PhysicianA44780CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1A44780OTHERCACERTIFICATE

General Provider Information

NPI Number : 1801812326
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GIANFRANCO BURDI M.D.
Provider Business Mailing Address
First Line : 1303 AVOCADO AVE STE 235
Second Line :
City : NEWPORT BEACH
State : CA
Zip : 92660-7804
Country : US
Telephone Number : 949-219-0700
Fax Number : 949-388-0035
Provider Business Practice Location Address
First Line : 1303 AVOCADO AVE STE 235
Second Line :
City : NEWPORT BEACH
State : CA
Zip : 92660-7804
Country : US
Telephone Number : 949-219-0700
Fax Number : 949-388-0035
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2006
Last Update Date : 11/12/2018

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