Organization
BURBANK PREFERRED PROVIDER MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD KROOP MD (PRESIDENT)
(818) 567-6550
Entity
Organization
Contact information
Practice address
201 S BUENA VISTA ST, STE 300, BURBANK, CA 91505-4569
(818) 567-6550
(818) 579-7811
Mailing address
201 S BUENA VISTA ST, STE 300, BURBANK, CA 91505-4569
(818) 567-6550
(818) 579-7811
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A79419
CA
207R00000X
Internal Medicine Physician
Primary
G36316
CA
Other
Enumeration date
09/08/2009
Last updated
09/08/2009
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