Organization
MAGNOLIA NEURODIAGNOSTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MILENA MELKONYAN (CEO/PRESIDENT)
(818) 260-0595
Entity
Organization
Contact information
Practice address
4020 W MAGNOLIA BLVD, E, BURBANK, CA 91505-2828
(818) 260-0595
(818) 260-8792
Mailing address
4020 W MAGNOLIA BLVD, E, BURBANK, CA 91505-2828
(818) 260-0595
(818) 260-8792
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
—
—
Other
Enumeration date
07/25/2011
Last updated
07/25/2011
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