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Eddie Burston

NPI 1376034348 · on the registry since 2018 · sole proprietor

Practice

Address
12727 Camino Emparrado
San Diego, CA 92128
Phone
(858) 265-9992
Fax
(858) 798-5221

Registry record

Primary taxonomy
253Z00000X
253Z00000X
Also registered as
253Z00000X
Licence states on file
MI, CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-05-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California