Ivan Rodrigo Burgos M.D

NPI 1114963121 - Emergency Medicine - 207P00000X

NPI Details
NPI 1114963121
Gender Male
Enumeration Date 06/20/2006
Last Updated 03/31/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
815 POLLARD RD
LOS GATOS CA, 95032-1438, US
Phone (408) 866-3863
Fax
Business Location
2100 POWELL ST
STE 920
EMERYVILLE CA, 94608-1826, US
Phone (510) 350-2777
Fax
Toxanomy
Taxonomy Code 207P00000X
License State California
License Number A60370
Remove 1114963121 NPI Number
 

According to our database, Ivan Rodrigo Burgos M.D NPI is 1114963121, taxonomy code is 207P00000X and license number is A60370, license state is located at California. Ivan Rodrigo Burgos M.D physically located at 815 Pollard Rd, Los Gatos CA, 95032-1438. NPI Number Ivan Rodrigo Burgos M.D has the Individual type.

Sponsored links

1114963121 NPI number is provided on an as is basis without warranty of any kind. 1114963121 is maintained by the National Plan & Provider Enumeration System. The contents of Ivan Rodrigo Burgos M.D are for informational purposes only.