| Primary Critical Care Medical Group | |
|
501 S Buena Vista St Burbank CA 91505-4809 | |
| (818) 843-5111 | |
| (818) 843-0641 |
| Full Name | Primary Critical Care Medical Group |
|---|---|
| Speciality | General Practice |
| Location | 501 S Buena Vista St, Burbank, California |
| Authorized Official Name and Position | Bruce T Gipe (PRESIDENT) |
| Authorized Official Contact | 8185092222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Critical Care Medical Group Po Box 998 North Hollywood CA 91603-0998 Ph: (818) 509-2222 | Primary Critical Care Medical Group 501 S Buena Vista St Burbank CA 91505-4809 Ph: (818) 843-5111 |
| NPI Number | 1184823114 |
|---|---|
| Provider Enumeration Date | 07/11/2007 |
| Last Update Date | 02/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184823114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | G42382 (California) | Primary |
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