Organization
IMMUNITY CENTER, LLC.
Active
Other names
Immunity Center
Organization subpart
No
Provider details
NPI number
Authorized official
VILIK HARUTYUNYAN (ADMINISTRATOR)
(323) 793-7452
Entity
Organization
Contact information
Practice address
2010 N GLENOAKS BLVD, BURBANK, CA 91504-2835
(818) 906-4404
Mailing address
2010 N GLENOAKS BLVD, BURBANK, CA 91504-2835
(818) 906-4404
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
302F00000X
Exclusive Provider Organization
—
—
Other
Enumeration date
09/04/2023
Last updated
02/29/2024
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