Search › California › 101YM0800X
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 IncInferred 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