Nino, Edward Burgos

Nino, Edward Burgos is an individual health care provider with primary practice located at 1436 Goodrich Blvd , Commerce CA 90022-5111. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Nino, Edward Burgos can be contacted via phone (323) 725-1337.

Contact Information

Primary practice address
1436 Goodrich Blvd Commerce CA 90022-5111
Phone: (323) 725-1337
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP #14333 California
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X NP14333 California

Profile Details

NPI number 1053486944
LBN Legal business name Nino, Edward Burgos
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 24th, 2006
Last updated Dec 14th, 2018 - about 7 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 1053486944 NPPES
California Other WNP14333A PPIN

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