Edmond Melikterminas M.d. A Professional Corporation | |
303 S Glenoaks Blvd # 1 Burbank CA 91502-1319 | |
(818) 331-7687 | |
Not Available |
Full Name | Edmond Melikterminas M.d. A Professional Corporation |
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Speciality | Internal Medicine |
Location | 303 S Glenoaks Blvd, Burbank, California |
Authorized Official Name and Position | Edmond Melikterminas (OWNER OF THE CORPORATION) |
Authorized Official Contact | 8183317687 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Edmond Melikterminas M.d. A Professional Corporation 303 S Glenoaks Blvd # 1 Burbank CA 91502-1319 Ph: (818) 331-7687 | Edmond Melikterminas M.d. A Professional Corporation 303 S Glenoaks Blvd # 1 Burbank CA 91502-1319 Ph: (818) 331-7687 |
NPI Number | 1447514096 |
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Provider Enumeration Date | 06/28/2012 |
Last Update Date | 06/28/2012 |
Medicare PECOS PAC ID | 1153577127 |
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Medicare Enrollment ID | O20120807000262 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447514096 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Edmond Melikterminas |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1871723676 PECOS PAC ID: 2769638733 Enrollment ID: I20120807000307 |
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