Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jeffrey Philip Bourne, MD

Individual provider Pediatrics Physician · NPI 1164569091

Dr. Jeffrey Philip Bourne, MD is a Pediatrics Physician in Los Angeles, California. Works from 2 locations. Licensed in California and Florida.

Licensed in
CA, FL
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

12555 W Jefferson Blvd Ste 302
Los Angeles, CA 90066-7032
Phone: (424) 443-5600
Fax: (424) 443-5600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1811 Wilshire Blvd Ste 110, Santa Monica, CA 90403-5626 — (310) 453-9010

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence G86941 (CA)
Pediatrics Physician Taxonomy 208000000X · Licence ME66931 (FL)

Record details

NPI number1164569091
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 31, 2007
Last updated in NPPESMarch 29, 2021
Certification dateMarch 29, 2021

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