Individual provider · Type 1 NPI

Anton Pavlov

Registered Record Administrator · Burbank, CA

NPI number 1295291607 Active

Practice location

640 N Keystone St Ste B
Burbank, CA 91506-1900

Fax (818) 846-8665

Specialties and licenses

TaxonomyCodeLicense
Registered Record Administrator Primary 246YR1600XNone listed

Registered Record Administrator: None

Another provider at this address

About NPI 1295291607

Anton Pavlov's National Provider Identifier is 1295291607, issued on Feb 11, 2019. The primary taxonomy on file is Registered Record Administrator (246YR1600X), and the practice location is in Burbank, CA. The record was last updated on Feb 12, 2019.