Clyde James Burgess in Temecula - Physician Assistant
Clyde James Burgess - NPI 1114117470
Clyde James Burgess is a Physician Assistant in Temecula, California. Clyde James Burgess practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Clyde James Burgess is 1114117470. The last update date is 2007-08-01.
Clyde James Burgess's current location address is 31616 Loma Linda Rd, Temecula, California. You can contact this provider via phone number 9512656552. The mailing address for Clyde James Burgess is 31616 Loma Linda Rd, Temecula, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Clyde James Burgess |
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Address | 31616 Loma Linda Rd, Temecula, California |
Phone Number | 9512656552 |
Fax Number | |
Sole Proprietor | N |
Credentials | MSO |
NPI Number Detail
NPI Number | 1114117470 |
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Provider Enumeration Date | 2007-08-01 |
Last Updated Date | 2007-08-01 |
Provider Mailing Address Detail
Address | 31616 Loma Linda Rd |
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City | Temecula |
State | California (CA) |
Post Code | 925921639 |
Phone Number | 9512656552 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identifier code assigned to Clyde James Burgess by the Centers for Medicare & Medicaid Services?
The Clyde James Burgess has been issued the NPI (National Provider Identifier) 1114117470 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Clyde James Burgess's physical address?
The Clyde James Burgess is physically located at 31616 Loma Linda Rd, in the city of Temecula, CA, with the postal code 925921639.
What is Clyde James Burgess's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Clyde James Burgess is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
On what date did Clyde James Burgess receive its 1114117470 assignment from the Centers for Medicare & Medicaid Services?
The Clyde James Burgess was assigned its 1114117470 on 2007-08-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Clyde James Burgess's information last updated?
The Clyde James Burgess's information was last updated on 2007-08-01.