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Organization
PREMIERE MEDICAL CENTER OF BURBANK, INC.
Active
Organization
PREMIERE MEDICAL CENTER OF BURBANK, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DAVID MARSH MD (PHYSICIAN/OWNER)
(818) 842-7145
Entity
Organization
Contact information
Practice address
4418 VINELAND AVE STE 102, TOLUCA LAKE, CA 91602-3457
(818) 842-7145
(818) 842-8202
Mailing address
4418 VINELAND AVE STE 102, TOLUCA LAKE, CA 91602-3457
(818) 842-7145
(818) 842-8202
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
213E00000X
Podiatrist
E4419
CA
Other
Enumeration date
07/20/2009
Last updated
10/26/2018
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