Organization · Type 2 NPI
Minuteclinic Diagnostic Medical Group of California Inc
Family Nurse Practitioner · Burbank, CA
NPI number
1205575990
Active
Practice location
511 N Hollywood Way
Burbank, CA 91505-3406
Mailing address
1 Cvs Dr
Woonsocket, RI 02895-6146
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | None listed |
| Family Medicine Physician | 207Q00000X | None listed |
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
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About NPI 1205575990
Minuteclinic Diagnostic Medical Group of California Inc's National Provider Identifier is 1205575990, issued on Jun 1, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Burbank, CA. The record was last updated on Oct 11, 2024.