Healthcare Provider Details

I. General information

NPI: 1982789749
Provider Name (Legal Business Name): ARSINUR DIANA BURCOGLU-ORAL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/27/2006
Last Update Date: 11/24/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 W LEGION RD
BRAWLEY CA
92227-7780
US

IV. Provider business mailing address

DEPT LA 24367
PASADENA CA
91185-4367
US

V. Phone/Fax

Practice location:
  • Phone: 760-351-3737
  • Fax: 760-351-3739
Mailing address:
  • Phone: 602-441-9524
  • Fax: 602-441-9524

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberMD037990-L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberC53111
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: