SearchCalifornia101YM0800X

Eliza Bourke

NPI 1639997927 · on the registry since 2024

Practice

Address
1260 Morena Blvd Ste 2
San Diego, CA 92110
Phone
(619) 398-3261
Organisation at this address
Impact
Community Research Foundation
Community Research Foundation Inc
Community Research Foundation Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
232

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
1041C0700X
225400000X
Licence states on file
OR, CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-08-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California