Amir Burstein, M.A,PT
Individual provider Active NPI Contractor · Morro Bay, CA
NPI 1336312487 · NPPES record last updated Apr 9, 2008
Key facts
- NPI
- 1336312487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- License
- 34312 (CA)
- Practice address
- 2680 Juniper Ave
Morro Bay, CA 93442-1768 - Phone
- (805) 225-1077
- Fax
- (805) 225-1077
- NPI assigned
- Apr 9, 2008
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34312 | CA | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 34312 | CA | Yes |
Addresses
Primary practice location
2680 Juniper Ave
Morro Bay, CA 93442-1768
Mailing address
2680 Juniper Ave
Morro Bay, CA 93442-1768
Phone (805) 225-1077
Other providers in Morro Bay, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.