DR. FRED HURD BURBANK


Address: 24040 Camino Del Avion, A326, Dana Point, CA 92629-4005
Phone: 9494960026

DR. FRED HURD BURBANK (NPI# 1871852236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871852236
Entity Type Individual
Full Name DR. FRED HURD BURBANK
Credential M.D.
Practice Address 24040 Camino Del Avion
A326
Dana Point
CA 92629-4005
Practice Telephone 9494960026
Practice Fax Number 9494963247
Mailing Telephone 9494960026
Mailing Fax Number 9494963247
Enumeration Date 2012-05-04
Last Update Date 2012-05-04
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
G16735 CA Allopathic & Osteopathic Physicians
Y 2085R0204X Radiology
Specialization: Vascular & Interventional Radiology
G16735 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 24040 CAMINO DEL AVION
A326
City DANA POINT
State CA
Zip Code 92629-4005

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Taxonomy Information

Taxonomy Code 2085R0204X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Vascular & Interventional Radiology

Taxonomy Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology.

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1306467204 Saleh Radiology of Inland Empire Radiology 15276 Ledgestone St, Fontana, CA 92336-4048 2020-05-01
1366084535 Luo Xu Radiology 757 Westwood Plz # 2146, Los Angeles, CA 90095-8358 2019-10-09
1346717824 Cvs Medical Group, Inc Radiology 201 W Garvey Ave Ste 102-502, Monterey Park, CA 91754-7418 2018-11-01
1407353675 Art Vascular & Interventional Associates Inc Radiology 324 S Beverly Dr Ste 345, Beverly Hills, CA 90212-4801 2018-04-12
1568971869 Broad Reach Specialty Surgery Inc Radiology 8117 West Manchester Ave, Ste 368, Playa Del Rey, CA 90293 2017-09-29
1407393754 Valley Vascular Partners Inc Radiology 19231 Victory Blvd Ste 155, Reseda, CA 91335-6329 2017-01-25
1124497342 Neurointerventional Surgery Consultants, PC Radiology 534 S Brea Blvd, Brea, CA 92821-5304 2015-09-17
1578946026 Clarity Radiology, LLC Radiology 39 Via Navarro, Greenbrae, CA 94904-1215 2015-07-01
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Competitor

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City DANA POINT
Zip Code 92629

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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