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NPI Code Detail

MEDICARE: ELON ARTHUR BURNS

MEDICARE: ELON ARTHUR BURNS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1679776058
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELON ARTHUR BURNS
Provider Business Mailing Address
First Line : 4974 EL CAJON BLVD
Second Line : SUITE A
City : SAN DIEGO
State : CA
Zip : 92115-4677
Country : US
Telephone Number : 619-286-4600
Fax Number : 619-286-0060
Provider Business Practice Location Address
First Line : 4974 EL CAJON BLVD
Second Line : SUITE A
City : SAN DIEGO
State : CA
Zip : 92115-4677
Country : US
Telephone Number : 619-286-4600
Fax Number : 619-286-0060
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2007
Last Update Date : 07/09/2007

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Directions to “ ELON ARTHUR BURNS ” Practice Location

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