Provider Demographics
NPI:1437699774
Name:BUERGER, ANASTASIA (DO)
Entity Type:Individual
Prefix:
First Name:ANASTASIA
Middle Name:
Last Name:BUERGER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2390 CRENSHAW BLVD # 428
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90501-3300
Mailing Address - Country:US
Mailing Address - Phone:714-515-0397
Mailing Address - Fax:
Practice Address - Street 1:1703 TERMINO AVE STE 209
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90804-2128
Practice Address - Country:US
Practice Address - Phone:562-498-3002
Practice Address - Fax:562-498-3822
Is Sole Proprietor?:No
Enumeration Date:2017-03-06
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA201587207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine