Basic Information
| Provider Information | |||||||||
| NPI: | 1205877651 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | OZGUR | ||||||||
| FirstName: | BURAK | ||||||||
| MiddleName: | M | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 16405 SAND CANYON AVE | ||||||||
| Address2: | STE 200 | ||||||||
| City: | IRVINE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 926183786 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9493834190 | ||||||||
| FaxNumber: | 9493834189 | ||||||||
| Practice Location | |||||||||
| Address1: | 361 HOSPITAL RD | ||||||||
| Address2: | SUITE 224 | ||||||||
| City: | NEWPORT BEACH | ||||||||
| State: | CA | ||||||||
| PostalCode: | 926633522 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9493834190 | ||||||||
| FaxNumber: | 9496127296 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/09/2006 | ||||||||
| LastUpdateDate: | 04/01/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/01/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207T00000X | A74635 | CA | Y | Allopathic & Osteopathic Physicians | Neurological Surgery |
No ID Information.