Healthcare Provider Details

I. General information

NPI: 1568502243
Provider Name (Legal Business Name): WILLIAM MAXWELL BURNS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/08/2007
Last Update Date: 02/01/2024
Certification Date: 02/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 DONDEE ST STE 9A
PACIFICA CA
94044-3056
US

IV. Provider business mailing address

450 DONDEE ST STE 9A
PACIFICA CA
94044-3056
US

V. Phone/Fax

Practice location:
  • Phone: 650-743-0556
  • Fax: 844-889-5618
Mailing address:
  • Phone: 650-743-0556
  • Fax: 844-889-5618

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA72944
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: