Individual provider · Type 1 NPI

Jeffrey Philip Bourne, MD

Pediatrics Physician · Los Angeles, CA

NPI number 1164569091 Active

Practice location

12555 W Jefferson Blvd Ste 302
Los Angeles, CA 90066-7032

Fax (424) 443-5600

Mailing address

1811 Wilshire Blvd Ste 110
Santa Monica, CA 90403-5626

Other practice locations

  • 1811 Wilshire Blvd Ste 110, Santa Monica, CA 90403-5626 · (310) 453-9010

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000XME66931 (FL)
Pediatrics Physician Primary 208000000XG86941 (CA)

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

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About NPI 1164569091

Jeffrey Philip Bourne, MD's National Provider Identifier is 1164569091, issued on Jan 31, 2007. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Los Angeles, CA. The record was last updated on Mar 29, 2021.