Provider Demographics
NPI:1922107432
Name:BURGER, EMIL FERDINAND JR (MD)
Entity Type:Individual
Prefix:DR
First Name:EMIL
Middle Name:FERDINAND
Last Name:BURGER
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8301 FLORENCE AVE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90240-3936
Mailing Address - Country:US
Mailing Address - Phone:562-862-1991
Mailing Address - Fax:562-862-4031
Practice Address - Street 1:8301 FLORENCE AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90240-3936
Practice Address - Country:US
Practice Address - Phone:562-862-1991
Practice Address - Fax:562-862-4031
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC24547174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA32663Medicare UPIN