| Healthy Life Medical Clinic | |
|
2521 W Burbank Blvd Burbank CA 91505-2302 | |
| (818) 392-4040 | |
| (818) 392-4042 |
| Full Name | Healthy Life Medical Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 2521 W Burbank Blvd, Burbank, California |
| Authorized Official Name and Position | Karamo Chilombo (PRESIDENT) |
| Authorized Official Contact | 8183924040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Life Medical Clinic 2521 W Burbank Blvd Burbank CA 91505-2302 Ph: (818) 392-4040 | Healthy Life Medical Clinic 2521 W Burbank Blvd Burbank CA 91505-2302 Ph: (818) 392-4040 |
| NPI Number | 1760202840 |
|---|---|
| Provider Enumeration Date | 10/14/2024 |
| Last Update Date | 01/13/2025 |
| Medicare PECOS PAC ID | 2062946171 |
|---|---|
| Medicare Enrollment ID | O20241112004246 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760202840 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Karamo A Chilombo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447427844 PECOS PAC ID: 4082649603 Enrollment ID: I20090306000480 |
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