Burgess, Clyde James

Burgess, Clyde James is an individual health care provider with primary practice located at 31616 Loma Linda Rd , Temecula CA 92592-1639. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Burgess, Clyde James can be contacted via phone (951) 265-6552.

Contact Information

Primary practice address
31616 Loma Linda Rd Temecula CA 92592-1639
Phone: (951) 265-6552
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1114117470
LBN Legal business name Burgess, Clyde James
Credentials MSO
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2007
Last updated Aug 1st, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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