Burstin, Charles Joel
Burstin, Charles Joel is an sole proprietor health care provider with primary practice located at 8631 W 3Rd St Suite 1015E, Los Angeles CA 90048-5901. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Burstin, Charles Joel can be contacted via phone (424) 230-5377.Contact Information
Primary practice address
8631 W 3Rd St Suite 1015E
Los Angeles CA 90048-5901
Phone: (424) 230-5377
Fax: (310) 358-2266
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | A20389 | California |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A20389 | California |
Profile Details
| NPI number | 1164592556 |
|---|---|
| LBN Legal business name | Burstin, Charles Joel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 9th, 2006 |
| Last updated | Aug 5th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164592556 | NPPES |
| California | MEDICAID | 00A203890 |
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