Earla Mahalia Burnett in Long Beach - Medical

Earla Mahalia Burnett - NPI 1619091055

Earla Mahalia Burnett is a Medical in Long Beach, California. Earla Mahalia Burnett practices all healthcare services and medical treatments related to Medical. The NPI Number for Earla Mahalia Burnett is 1619091055. The last update date is 2007-07-08.

Earla Mahalia Burnett's current location address is 1250 Pacific Ave, Long Beach, California. You can contact this provider via phone number 5624370831 and fax number 5626242725. The mailing address for Earla Mahalia Burnett is 1250 Pacific Ave, Long Beach, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Earla Mahalia Burnett
Address 1250 Pacific Ave, Long Beach, California
Phone Number 5624370831
Fax Number 5626242725
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1619091055
Provider Enumeration Date 2007-03-19
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1250 Pacific Ave
City Long Beach
State California (CA)
Post Code 908133026
Phone Number 5624370831
Fax Number 5626242725

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No PA 16707
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

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FAQs about Earla Mahalia Burnett

What is the unique 10-digit identification code assigned to Earla Mahalia Burnett by the Centers for Medicare & Medicaid Services?

The Earla Mahalia Burnett has been issued the NPI (National Provider Identifier) 1619091055, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Earla Mahalia Burnett is geographically located?

The Earla Mahalia Burnett is physically situated at the following location: 1250 Pacific Ave, Long Beach, CA, 908133026.

What is the Earla Mahalia Burnett's specialty and taxonomy code?

The Earla Mahalia Burnett's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.

On what date did Earla Mahalia Burnett receive its 1619091055 assignment from the Centers for Medicare & Medicaid Services?

The Earla Mahalia Burnett was assigned its 1619091055 on 2007-03-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Earla Mahalia Burnett, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Earla Mahalia Burnett, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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