Provider Demographics
NPI:1801812326
Name:BURDI, GIANFRANCO (MD)
Entity type:Individual
Prefix:DR
First Name:GIANFRANCO
Middle Name:
Last Name:BURDI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1303 AVOCADO AVE STE 235
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-7804
Mailing Address - Country:US
Mailing Address - Phone:949-219-0700
Mailing Address - Fax:949-388-0035
Practice Address - Street 1:1303 AVOCADO AVE STE 235
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-7804
Practice Address - Country:US
Practice Address - Phone:949-219-0700
Practice Address - Fax:949-388-0035
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-15
Last Update Date:2018-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA447802084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA44780OtherCERTIFICATE