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Organization
VERDUGO MEDICAL CLINIC A PROFESSIONAL MEDICAL CORPORATION
Active
Organization
VERDUGO MEDICAL CLINIC A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERNADETTE DE LARA GUIA NP (PRESIDENT/NP)
(818) 433-7323
Entity
Organization
Contact information
Practice address
290 E VERDUGO AVE STE 105, BURBANK, CA 91502-1331
(818) 433-7323
(818) 433-7347
Mailing address
290 E VERDUGO AVE STE 105, BURBANK, CA 91502-1331
(818) 433-7323
(818) 433-7347
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/20/2023
Last updated
04/28/2023
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