| |
4323 Riverside Dr Burbank CA 91505-4044 | |
(818) 556-2700 | |
Not Available |
Full Name | |
---|---|
Speciality | Durable Medical Equipment & Medical Supplies |
Location | 4323 Riverside Dr, Burbank, California |
Authorized Official Name and Position | Katherine A Hale (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 3103015311 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
5767 W Century Blvd 400 Los Angeles CA 90045-5631 Ph: (310) 301-8707 | 4323 Riverside Dr Burbank CA 91505-4044 Ph: (818) 556-2700 |
NPI Number | 1871989269 |
---|---|
Provider Enumeration Date | 04/13/2015 |
Last Update Date | 09/09/2020 |
Medicare PECOS PAC ID | 5294958815 |
---|---|
Medicare Enrollment ID | O20150803000760 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871989269 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (California) | Secondary |
332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Primary |
Advanced Mobile Wound Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1021 E Harvard Rd, Burbank, CA 91501 Phone: 818-726-5686 | |
Iv Pros Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 261 W Alameda Ave, Burbank, CA 91502 Phone: 888-844-8114 Fax: 888-664-0395 | |
Mark A. Gerard M.d., A Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 201 S Buena Vista St Ste 250, Burbank, CA 91505 Phone: 818-562-3200 Fax: 818-562-3205 | |
Trinidad Aguilar, M.d., Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 303 S Glenoaks Blvd, Suite 4, Burbank, CA 91502 Phone: 818-845-7228 Fax: 818-845-7298 | |
Verdugo Medical Group Corp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 142 W Verdugo Ave, Burbank, CA 91502 Phone: 818-588-3705 Fax: 818-588-3685 |