Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Burnett Eugene Ancrum I, CASECOORDINATOR

Individual provider Rehabilitation Practitioner · NPI 1629106562

Mr. Burnett Eugene Ancrum I, CASECOORDINATOR is a Rehabilitation Practitioner in Los Angeles, California. Practices as a sole proprietor. Registered with an NPI since 2007.

In the registry since
2007
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Practice location Address checks out

340 N Madison Ave
Los Angeles, CA 90004-3504
Phone: (323) 644-2026
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X

Record details

NPI number1629106562
Entity typeIndividual (Type 1)
GenderMale
Credentials CASECOORDINATOR
Sole proprietorYes
NPI enumeratedMarch 1, 2007
Last updated in NPPESSeptember 30, 2010

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