| Burbank Preferred Provider Medical Group, Inc | |
|
201 S Buena Vista St Ste 300 Burbank CA 91505-4569 | |
| (818) 567-6550 | |
| (818) 579-7811 |
| Full Name | Burbank Preferred Provider Medical Group, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 201 S Buena Vista St, Burbank, California |
| Authorized Official Name and Position | Richard Kroop (PRESIDENT) |
| Authorized Official Contact | 8185676550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Burbank Preferred Provider Medical Group, Inc 201 S Buena Vista St Ste 300 Burbank CA 91505-4569 Ph: (818) 567-6550 | Burbank Preferred Provider Medical Group, Inc 201 S Buena Vista St Ste 300 Burbank CA 91505-4569 Ph: (818) 567-6550 |
| NPI Number | 1871826917 |
|---|---|
| Provider Enumeration Date | 09/08/2009 |
| Last Update Date | 09/08/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871826917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A79419 (California) | Secondary |
| 207R00000X | Internal Medicine | G36316 (California) | Primary |
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