MR. BURNETT EUGENE ANCRUM I CASE COORDINATOR
NPI 1629106562
Rehabilitation Practitioner in Los Angeles, CA

Q: What is Burnett Ancrum's NPI number?

The NPI number for Burnett Ancrum is 1629106562. It was assigned to this individual provider in the NPPES registry on March 1, 2007.

Q: What is Burnett Ancrum's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

Q: When was this NPI record last updated?

The NPPES record for Burnett Ancrum was last updated on September 30, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 01, 2007

340 N MADISON AVE, LOS ANGELES, CA 90004(323) 644-2026 Get Directions Write a Review

NPPES record last updated: September 30, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mr. Burnett Eugene Ancrum I Case Coordinator NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. BURNETT EUGENE ANCRUM I CASE COORDINATOR (NPI 1629106562) is an individual rehabilitation practitioner in Los Angeles, California and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1629106562

Entity TypeIndividualMale

Primary Taxonomy225400000X

Provider Legal NameMR. BURNETT EUGENE ANCRUM ICredential: CASE COORDINATOR

Location Address340 N MADISON AVELos Angeles, CA 90004-3504

Mailing Address1906 W 3rd StLos Angeles, CA 90057-2304 · (323) 644-2026 · Fax (323) 644-2039

Phone(323) 644-2026

Sole ProprietorYes

Enumeration DateMarch 1, 2007

Last NPPES UpdateSeptember 30, 2010

✔ NPI 1629106562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225400000X

Definition

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

340 N MADISON AVE, Los Angeles, CA 90004

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NANCY CHOI PSY.D

Psychologist (Clinical)