| Burbank General Medical Group Inc | |
|
13330 Burbank Blvd Sherman Oaks CA 91401-5321 | |
| (818) 387-6045 | |
| (818) 387-6471 |
| Full Name | Burbank General Medical Group Inc |
|---|---|
| Speciality | General Practice |
| Location | 13330 Burbank Blvd, Sherman Oaks, California |
| Authorized Official Name and Position | Ruben S Gualberto (PRESIDENT/CEO) |
| Authorized Official Contact | 8183876045 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Burbank General Medical Group Inc 13330 Burbank Blvd Sherman Oaks CA 91401-5321 Ph: (818) 387-6045 | Burbank General Medical Group Inc 13330 Burbank Blvd Sherman Oaks CA 91401-5321 Ph: (818) 387-6045 |
| NPI Number | 1376859694 |
|---|---|
| Provider Enumeration Date | 08/24/2010 |
| Last Update Date | 08/24/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376859694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A32356 (California) | Primary |
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