Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | G035693 | CA |
Y | 208600000X | Surgeon | G035693 | CA |
NPI | 1013067941 |
---|---|
Provider Name | Dr. Robert Gertmenian Burns |
First Address | Newport Beach, CA 92660-7853 |
Second Address | Newport Beach, CA 92660-7853 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/01/2007 |
Last Update Date | 08/07/2007 |