Provider Demographics
NPI:1891853214
Name:BURRES, STEVEN A (MD INC)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:A
Last Name:BURRES
Suffix:
Gender:M
Credentials:MD INC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:6221 WILSHIRE BLVD.
Mailing Address - Street 2:SUITE 517
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048-5223
Mailing Address - Country:US
Mailing Address - Phone:323-937-1673
Mailing Address - Fax:323-937-0882
Practice Address - Street 1:6221 WILSHIRE BLVD.
Practice Address - Street 2:SUITE 517
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-5223
Practice Address - Country:US
Practice Address - Phone:323-937-1673
Practice Address - Fax:323-937-0882
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2015-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG54062207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology