| Health And Beauty Clinic A Professional Corporation | |
|
290 E Verdugo Ave Ste 105 Burbank CA 91502-1331 | |
| (818) 433-7323 | |
| (818) 433-7347 |
| Full Name | Health And Beauty Clinic A Professional Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 290 E Verdugo Ave Ste 105, Burbank, California |
| Authorized Official Name and Position | Daniel Rose (PRESIDENT) |
| Authorized Official Contact | 8184337323 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Health And Beauty Clinic A Professional Corporation 290 E Verdugo Ave Ste 105 Burbank CA 91502-1331 Ph: (818) 433-7323 | Health And Beauty Clinic A Professional Corporation 290 E Verdugo Ave Ste 105 Burbank CA 91502-1331 Ph: (818) 433-7323 |
| NPI Number | 1841909264 |
|---|---|
| Provider Enumeration Date | 11/15/2022 |
| Last Update Date | 11/15/2022 |
| Medicare PECOS PAC ID | 6901276641 |
|---|---|
| Medicare Enrollment ID | O20221221002004 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841909264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Daniel M Rose |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285668962 PECOS PAC ID: 7012934151 Enrollment ID: I20051028000262 |
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