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

Individual provider In Home Supportive Care Agency · NPI 1376034348

Mr. Eddie Reginald Burston II is an In Home Supportive Care Agency in San Diego, California. Practices as a sole proprietor. Licensed in California and Michigan.

Licensed in
CA, MI
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

12727 Camino Emparrado
San Diego, CA 92128
Phone: (858) 265-9992
Fax: (858) 798-5221
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

In Home Supportive Care Agency (primary) Taxonomy 253Z00000X · Licence 7516084757 (CA)
In Home Supportive Care Agency Taxonomy 253Z00000X · Licence B8163X (MI)

Record details

NPI number1376034348
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 24, 2018
Last updated in NPPESMay 24, 2018

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