# BURBANK GENERAL MEDICAL GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376859694
- **Authorized official:** DR. RUBEN S GUALBERTO M.D. (PRESIDENT/CEO)
- **Authorized official phone:** (818) 387-6045

## Contact information

- **Practice address:** 13330 BURBANK BLVD, SHERMAN OAKS, CA 91401-5321
- **Practice address phone:** (818) 387-6045
- **Practice address fax:** (818) 387-6471
- **Mailing address:** 13330 BURBANK BLVD, SHERMAN OAKS, CA 91401-5321
- **Mailing address phone:** (818) 387-6045
- **Mailing address fax:** (818) 387-6471

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A32356 | CA | Yes |

## Other

- **Enumeration date:** 08/24/2010
- **Last updated:** 08/24/2010