| Doctor Name: | MRS. JAN BURCH |
| NPI Number: | 1134498884 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LVN |
| License Number: | 223839 |
| Business Practice Address: | 2101 Magnolia Ave Long Beach, CA - 908064521 |
| Business Phone Number: | 5622181868 |
| Business Fax Number: | 5625910346 |
| Mailing Address: | 2101 Magnolia Ave, LONG BEACH |
| State: | CA |
| Postal Code: | 908064521 |
| Phone Number: | 5622181868 |
| Fax Number: | 5625910346 |
| NPI Enumeration Date: | 12/27/2011 |
| NPI Last Update Date: | 06/21/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 324500000X |
| License Number: | 223839 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Residential Treatment Facilities |
| Taxonomy Classification: | Substance Abuse Rehabilitation Facility |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |