Individual provider · NPI-1

Jerome Burstein, M.D.

Radiology, Diagnostic Radiology · Loma Linda, CA

NPI number1780600882
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1780600882
Entity type
Individual (NPI-1)
Name
Jerome Burstein
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jul 14, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0202X Radiology, Diagnostic RadiologyG17398CAYes

Practice location

11234 Anderson St
Loma Linda, CA 92354-2804

Phone 909-558-8311

Mailing address

Po Box 30959
Los Angeles, CA 90030-0959

Phone 909-558-3014

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