Healthcare Provider Details

I. General information

NPI: 1740985845
Provider Name (Legal Business Name): ALEXANDER VIJEH BURNS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2023
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3828 SCHAUFELE AVE STE 200
LONG BEACH CA
90808-1793
US

IV. Provider business mailing address

3828 SCHAUFELE AVE STE 200
LONG BEACH CA
90808-1793
US

V. Phone/Fax

Practice location:
  • Phone: 657-241-8990
  • Fax: 714-665-4600
Mailing address:
  • Phone: 657-241-8990
  • Fax: 714-665-4600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA208972
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: