Burnam, Michael H

Burnam, Michael H is an individual health care provider with primary practice located at 5525 Etiwanda Avenue Suite 22 , Tarzana CA 91356. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Burnam, Michael H can be contacted via phone (818) 609-7677.

Contact Information

Primary practice address
5525 Etiwanda Avenue Suite 22 Tarzana CA 91356
Fax: (818) 609-0295
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X A25295 California

Profile Details

NPI number 1700958139
LBN Legal business name Burnam, Michael H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2006
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 1700958139 NPPES
Other P00229708 MEDICARE RAILROAD
MEDICAID 00A252950 MEDICARE RAILROAD

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