Provider Demographics
NPI:1003219924
Name:D & B HEALTH CARE PROFESSIONALS BURBANK, INC.
Entity Type:Organization
Organization Name:D & B HEALTH CARE PROFESSIONALS BURBANK, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LUZVIMINDA
Authorized Official - Middle Name:GAMBOA
Authorized Official - Last Name:JAMILLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-848-8887
Mailing Address - Street 1:12140 ARTESIA BLVD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:ARTESIA
Mailing Address - State:CA
Mailing Address - Zip Code:90701-4058
Mailing Address - Country:US
Mailing Address - Phone:818-848-8887
Mailing Address - Fax:562-924-1878
Practice Address - Street 1:12140 ARTESIA BLVD
Practice Address - Street 2:SUITE 202
Practice Address - City:ARTESIA
Practice Address - State:CA
Practice Address - Zip Code:90701-4058
Practice Address - Country:US
Practice Address - Phone:818-848-8887
Practice Address - Fax:562-924-1878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-06
Last Update Date:2014-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA550000413251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health