Organization · Type 2 NPI

Monte Carl Burnam Physician Assistant Professional Corporation

Medical Physician Assistant · Long Beach, CA

NPI number 1881903680 Active

Practice location

1145 E Amelia Dr
Long Beach, CA 90807-2403

Specialties and licenses

Taxonomy	Code	License
Medical Physician Assistant Primary	363AM0700X	PA10764 (CA)

Medical Physician Assistant: Definition to come...

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NPI record

NPI: 1881903680
Entity type: Organization (Type 2)
Issued: Sep 28, 2010
Last updated: Sep 28, 2010
Status: Active

Other names

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Primary Care Skin Solutions By Physician Assistants and Medical Doctor · doing business as

Authorized official

Monte Carl Burnam, PA
President
(323) 360-1864

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About NPI 1881903680

Monte Carl Burnam Physician Assistant Professional Corporation's National Provider Identifier is 1881903680, issued on Sep 28, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Long Beach, CA. The record was last updated on Sep 28, 2010.