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1114963121
IVAN RODRIGO BURGOS
LOS GATOS, CA
NPI
1114963121
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: CA A60370)
Enumeration Date
2006-06-20
Last Update Date
2009-03-31
Business Address
-- IVAN RODRIGO BURGOS M.D
815 POLLARD RD
LOS GATOS, CA 95032-1438
Phone number: 408-866-3863
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Mailing Address
-- IVAN RODRIGO BURGOS M.D
2100 POWELL ST STE 920
EMERYVILLE, CA 94608-1826
Phone number: 510-350-2777
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