Organization
BURBANK GENERAL MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUBEN S GUALBERTO M.D. (PRESIDENT/CEO)
(818) 387-6045
Entity
Organization
Contact information
Practice address
13330 BURBANK BLVD, SHERMAN OAKS, CA 91401-5321
(818) 387-6045
(818) 387-6471
Mailing address
13330 BURBANK BLVD, SHERMAN OAKS, CA 91401-5321
(818) 387-6045
(818) 387-6471
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A32356
CA
Other
Enumeration date
08/24/2010
Last updated
08/24/2010
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