Provider Demographics
NPI:1003017906
Name:BURZELL, LINDEN JOHN (MD)
Entity Type:Individual
Prefix:DR
First Name:LINDEN
Middle Name:JOHN
Last Name:BURZELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:3142 VISTA WAY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92056-3627
Mailing Address - Country:US
Mailing Address - Phone:866-228-2236
Mailing Address - Fax:760-738-9047
Practice Address - Street 1:3142 VISTA WAY
Practice Address - Street 2:SUITE 100
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92056-3627
Practice Address - Country:US
Practice Address - Phone:866-228-2236
Practice Address - Fax:760-738-9047
Is Sole Proprietor?:No
Enumeration Date:2007-05-29
Last Update Date:2023-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLTRN # 11434207Q00000X
CAA112617207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA112617OtherMEDICAL LICENSE
CAFB2168018OtherDEA