Healthcare Provider Details

I. General information

NPI: 1902136831
Provider Name (Legal Business Name): ARTURO ERIC BURGOS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/24/2009
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 EDMONDS RD
REDWOOD CITY CA
94062-3803
US

IV. Provider business mailing address

28 BACHE ST
SAN FRANCISCO CA
94110-5924
US

V. Phone/Fax

Practice location:
  • Phone: 650-839-1810
  • Fax:
Mailing address:
  • Phone: 415-574-8736
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: