Doctor Name: | DR. JEFFREY PHILIP BOURNE |
NPI Number: | 1164569091 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | ME66931 |
Business Practice Address: | 1245 16th St #305 Santa Monica, CA - 904041235 |
Business Phone Number: | 3104539010 |
Business Fax Number: | 3108283661 |
Mailing Address: | 540 1st St, #4 HERMOSA BEACH |
State: | CA |
Postal Code: | 902545204 |
Phone Number: | 3107984261 |
Fax Number: | |
NPI Enumeration Date: | 01/31/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208000000X |
License Number: | ME66931 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Pediatrics |
Taxonomy Specialization: | |
Taxonomy Definition: | A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |