Burke, Lennis P

Burke, Lennis P is an individual health care provider with primary practice located at 50 Bellefontaine St Ste 405, Pasadena CA 91105-3132. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Burke, Lennis P can be contacted via phone (626) 796-9259.

Contact Information

Primary practice address
50 Bellefontaine St Ste 405 Pasadena CA 91105-3132
Fax: (626) 449-8560
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X G42405 California

Profile Details

NPI number 1922080779
LBN Legal business name Burke, Lennis P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Jul 8th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1922080779 NPPES
California MEDICAID OOG424050

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