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General NPI Number Information
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NPI Number | 1962683177
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Entity Type | Organization
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Legal Business Name | BURR VON MAUR, M.D. INC.
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Dates
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Enumeration Date | 11/15/2007
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Last Update Date | 05/08/2008
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Provider Practice Location Address
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Address Line | 27800 MEDICAL CENTER RD 351
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City | MISSION VIEJO
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State | CA
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Zip | 92691-6410
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Country | US
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Telephone | 949-364-9107
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Fax |
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Provider Business Mailing Address
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Address Line | 27800 MEDICAL CENTER RD 351
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City | MISSION VIEJO
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State | CA
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Zip | 92691-6410
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Country | US
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Telephone | 949-364-9107
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. BURR VON MAUR
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Credential | M.D.
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Telephone | 949-364-9107
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number |
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License Number State |
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