| Minuteclinic Diagnostic Medical Group Of California, Inc. | |
|
511 N Hollywood Way Burbank CA 91505-3406 | |
| (855) 417-2486 | |
| Not Available |
| Full Name | Minuteclinic Diagnostic Medical Group Of California, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 511 N Hollywood Way, Burbank, California |
| Authorized Official Name and Position | Deborah Jean Pincince (ADMINISTRATOR) |
| Authorized Official Contact | 4017703813 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Minuteclinic Diagnostic Medical Group Of California, Inc. Po Box 772 Mc 2295 Woonsocket RI 02895-0784 Ph: () - | Minuteclinic Diagnostic Medical Group Of California, Inc. 511 N Hollywood Way Burbank CA 91505-3406 Ph: (855) 417-2486 |
| NPI Number | 1811641244 |
|---|---|
| Provider Enumeration Date | 02/04/2022 |
| Last Update Date | 02/09/2022 |
| Certification Date | 02/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811641244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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