Provider Demographics
NPI:1174555338
Name:DR. DANIEL R. BURSCHINGER
Entity type:Organization
Organization Name:DR. DANIEL R. BURSCHINGER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHOPEDIC SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:R
Authorized Official - Last Name:BURSCHINGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-447-2147
Mailing Address - Street 1:612 W DUARTE RD
Mailing Address - Street 2:#504
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91007-7602
Mailing Address - Country:US
Mailing Address - Phone:626-447-2147
Mailing Address - Fax:626-447-9815
Practice Address - Street 1:612 W DUARTE RD
Practice Address - Street 2:#504
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007-7602
Practice Address - Country:US
Practice Address - Phone:626-447-2147
Practice Address - Fax:626-447-9815
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-07
Last Update Date:2007-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173000000XOther Service ProvidersLegal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA 16951Medicare PIN
CAA81745Medicare UPIN