Burrill, Gloria

Burrill, Gloria is an individual health care provider with primary practice located at 600 S Grand Ave , Covina CA 91724-3638. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, which is considered as her primary health care specialty. Burrill, Gloria can be contacted via phone (626) 859-6200.

Contact Information

Primary practice address
600 S Grand Ave Covina CA 91724-3638
Phone: (626) 859-6200
Fax: (626) 938-0397
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X

Profile Details

NPI number 1922138163
LBN Legal business name Burrill, Gloria
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2007
Last updated Jul 8th, 2007 - about 18 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 1922138163 NPPES
California MEDICAID 7544A

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