Provider Demographics
NPI:1235983107
Name:BURKE INFECTIOUS DISEASES
Entity type:Organization
Organization Name:BURKE INFECTIOUS DISEASES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HAYDEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BURKE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-815-9425
Mailing Address - Street 1:1848 FREDA LN
Mailing Address - Street 2:
Mailing Address - City:CARDIFF
Mailing Address - State:CA
Mailing Address - Zip Code:92007-1415
Mailing Address - Country:US
Mailing Address - Phone:760-815-9425
Mailing Address - Fax:562-232-3728
Practice Address - Street 1:2095 W VISTA WAY STE 216
Practice Address - Street 2:
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92083-6029
Practice Address - Country:US
Practice Address - Phone:619-289-9239
Practice Address - Fax:619-215-5875
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-16
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Multi-Specialty