Healthcare Provider Details

I. General information

NPI: 1710338256
Provider Name (Legal Business Name): ARC HEALTHCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2016
Last Update Date: 02/07/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

460 OLD NEWPORT BLVD
NEWPORT BEACH CA
92663-4211
US

IV. Provider business mailing address

460 OLD NEWPORT BLVD
NEWPORT BEACH CA
92663-4211
US

V. Phone/Fax

Practice location:
  • Phone: 949-287-6880
  • Fax: 949-258-5787
Mailing address:
  • Phone: 949-287-6880
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License NumberCA31139
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberA93077
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberPT38468
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA93077
License Number StateCA

VIII. Authorized Official

Name: DR. DAMIEN JOHANN BURGESS
Title or Position: PRESIDENT
Credential: D.C., M.S.
Phone: 714-618-7880