Provider Demographics
NPI:1386692390
Name:BURNS, DAVID MICHAEL (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:MICHAEL
Last Name:BURNS
Suffix:
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 1:1120 SOLANA DR
Mailing Address - Street 2:
Mailing Address - City:DEL MAR
Mailing Address - State:CA
Mailing Address - Zip Code:92014-3907
Mailing Address - Country:US
Mailing Address - Phone:858-794-8547
Mailing Address - Fax:858-794-8543
Practice Address - Street 1:1120 SOLANA DR
Practice Address - Street 2:
Practice Address - City:DEL MAR
Practice Address - State:CA
Practice Address - Zip Code:92014-3907
Practice Address - Country:US
Practice Address - Phone:858-794-8547
Practice Address - Fax:858-794-8543
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-04
Last Update Date:2010-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG32160207R00000X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G321600Medicaid
CAWG32160B, WG32160CMedicare ID - Type Unspecified
CAA45036Medicare UPIN