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 |
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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 |
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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 |
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Provider Enumeration Date | 11/15/2022 |
Last Update Date | 11/15/2022 |
Medicare PECOS PAC ID | 6901276641 |
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Medicare Enrollment ID | O20221221002004 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841909264 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Daniel M Rose |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1285668962 PECOS PAC ID: 7012934151 Enrollment ID: I20051028000262 |
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