| Magnolia Neurodiagnostic Inc | |
|
4020 W Magnolia Blvd E Burbank CA 91505-2828 | |
| (818) 260-0595 | |
| (818) 260-8792 |
| Full Name | Magnolia Neurodiagnostic Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Clinical Neurophysiology |
| Location | 4020 W Magnolia Blvd, Burbank, California |
| Authorized Official Name and Position | Milena Melkonyan (CEO/PRESIDENT) |
| Authorized Official Contact | 8182600595 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Neurodiagnostic Inc 4020 W Magnolia Blvd E Burbank CA 91505-2828 Ph: (818) 260-0595 | Magnolia Neurodiagnostic Inc 4020 W Magnolia Blvd E Burbank CA 91505-2828 Ph: (818) 260-0595 |
| NPI Number | 1225316284 |
|---|---|
| Provider Enumeration Date | 07/25/2011 |
| Last Update Date | 07/25/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225316284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | (* (Not Available)) | Primary |
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