| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 06/28/2012 |
| Last Update Date | 06/28/2012 |
| Medicare PECOS PAC ID | 1153577127 |
|---|---|
| Medicare Enrollment ID | O20120807000262 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447514096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Edmond Melikterminas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871723676 PECOS PAC ID: 2769638733 Enrollment ID: I20120807000307 |
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