Organization
BURBANK BRACHYTHERAPY INSTITUTE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL A SCHARLACH MD (AUTHORIZED OFFICIAL)
(818) 449-2700
Entity
Organization
Contact information
Practice address
2601 W ALAMEDA AVE, SUITE 300, BURBANK, CA 91505-4800
(818) 588-3840
Mailing address
2601 W ALAMEDA AVE, SUITE 300, BURBANK, CA 91505-4800
(818) 588-3840
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
A19697
CA
Other
Enumeration date
02/04/2015
Last updated
02/04/2015
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