Organization
MEDICAL PRO HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALFRED LEVONIANS (PRESIDENT)
(818) 568-0006
Entity
Organization
Contact information
Practice address
2501 W BURBANK BLVD, 300, BURBANK, CA 91505-2347
(818) 568-0006
(888) 730-7347
Mailing address
1812 W BURBANK BLVD, 81, BURBANK, CA 91506
(818) 568-0006
(888) 730-7347
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A77259
SUPERVISING PHYICIAN MEDICAL LICENSE
CA
Enumeration date
03/21/2017
Last updated
03/21/2017
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