MAGNOLIA NEURODIAGNOSTIC INC (NPI# 1225316284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225316284 |
| Entity Type | Organization |
| Organization Name | MAGNOLIA NEURODIAGNOSTIC INC |
| Practice Address |
4020 W Magnolia Blvd E Burbank CA 91505-2828 |
| Practice Telephone | 8182600595 |
| Practice Fax Number | 8182608792 |
| Mailing Telephone | 8182600595 |
| Mailing Fax Number | 8182608792 |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2011-07-25 |
| Authorized Official Name | MS. MILENA MELKONYAN (CEO/PRESIDENT) |
| Authorized Official Telephone | 8182600595 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
Allopathic & Osteopathic Physicians |
| Street Address |
4020 W MAGNOLIA BLVD E |
| City | BURBANK |
| State | CA |
| Zip Code | 91505-2828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043498710 | Eugene Lipin | Hearing Instrument Specialist | 4020 W Magnolia Blvd, Suite D, Burbank, CA 91505-2828 | 2008-02-05 |
| 1689049140 | Burbank Hearing Aid Specialists,inc. | Hearing Aid Equipment | 4020 W Magnolia Blvd, Suite D, Burbank, CA 91505-2828 | 2015-12-09 |
| 1447596291 | Platinum Hospice Care,inc. | Hospice Care, Community Based | 4020 W Magnolia Blvd, Suite E, Burbank, CA 91505-2828 | 2012-12-26 |
| 1245517481 | Care First Hospice, Inc. | Hospice Care, Community Based | 4020 W Magnolia Blvd, Suite J, Burbank, CA 91505-2828 | 2011-11-15 |
| 1831327253 | Blue Ribbon Home Health Inc | Home Health | 4020 W Magnolia Blvd, Suite I, Burbank, CA 91505-2828 | 2009-06-24 |
| 1578706552 | Hillcrest Hospice Inc. | Hospice Care, Community Based | 4020 W Magnolia Blvd, Suite #b, Burbank, CA 91505-2828 | 2009-04-07 |
| 1710128384 | L & A Neuro Inc | Specialist/Technologist, Other | 4020 W Magnolia Blvd, E, Burbank, CA 91505-2828 | 2009-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023625035 | K and S Hospice Inc | Hospice Care, Community Based | 4100 W Alameda Ave Fl 3, Burbank, CA 91505 | 2020-09-24 |
| 1013542471 | Jami Stehlin | Nurse Practitioner | 501 S. Buena Vista St. 3ne, Burbank, CA 91505 | 2020-03-06 |
| 1497309033 | Ibrahim Lala | Pharmacist | 181 S. Buena Vista St, Burbank, CA 91505 | 2019-08-01 |
| 1720501240 | Jung H Li | Registered Nurse | Psjmc- Bariatric Wellness Center, 501 S Buena Vista St, Burbank, CA 91505 | 2017-07-18 |
| 1699204974 | Beth Ellen Izbotsky | Physical Medicine & Rehabilitation | 501 S Buena Vista Blvd, Burbank, CA 91505 | 2017-06-08 |
| 1205387446 | Fabiola Bachman | Dentist | 138 N Pass Ave, 2, Burbank, CA 91505 | 2016-10-24 |
| 1114478203 | Marianna Ghularyan D.d.s. Inc | Dentist | 1400 N. Edison Blvd., Burbank, CA 91505 | 2016-10-24 |
| 1962952127 | Landa Mizin Dental Partnership | Dentist | 2625 W Alameda Ave Ste 502, Burbank, CA 91505 | 2016-10-11 |
| 1285183376 | Amy Di Francia | Marriage & Family Therapist | 4421 W Riverside Dr Ste 210, Burbank, CA 91505 | 2016-09-29 |
| 1306238381 | Abigail Merrin | Physical Therapist | 2701 W Alameda Ave Ste 206, Burbank, CA 91505 | 2015-02-26 |
| Find all providers in zip 91505 | ||||
| Taxonomy Code | 2084N0600X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Clinical Neurophysiology |
| Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578798864 | Ronnie Karayan Md Apc | Psychiatry & Neurology | 2701 W Alameda Ave, Suite 202, Burbank, CA 91505-4402 | 2009-05-15 |
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| 1659994739 | Jey Neuro Center, Inc | Psychiatry & Neurology | 2005 Eye Street #8-501, Bakersfield, CA 93301-4451 | 2020-05-22 |
| 1578116877 | La Neuro Medical Group | Psychiatry & Neurology | 11843 Dorothy St Apt 2, Los Angeles, CA 90049-4456 | 2019-07-17 |
| 1518527613 | Neuroguard Pro | Psychiatry & Neurology | 2932 N Cottonwood St Unit 16, Orange, CA 92865-1235 | 2019-06-19 |
| 1750857801 | Tms Depression Center of San Diego | Psychiatry & Neurology | 613 W Valley Pkwy Ste 102, Escondido, CA 92025-2550 | 2018-10-16 |
| 1225530637 | Iom Neuro Pro Reader | Psychiatry & Neurology | 9300 Santa Anita Ave, Suite 101, Rancho Cucamonga, CA 91730 | 2018-03-01 |
| 1437579851 | Sami Bajwa | Psychiatry & Neurology | 7240 N Van Ness Blvd, Fresno, CA 93711-0470 | 2014-04-24 |
| 1780935130 | Dawn Eliashiv Md Inc. A Professional Medical Corporation | Psychiatry & Neurology | 8635 W 3rd St Ste 1080w, Los Angeles, CA 90048-6183 | 2012-09-25 |
| 1073821922 | Yuvraj Singh Grewal | Psychiatry & Neurology | 23861 Mcbean Pkwy Ste A4, Santa Clarita, CA 91355-2003 | 2010-09-14 |
| 1952629263 | Roger Bertoldi Md Professional Corporation | Psychiatry & Neurology | 8610 S. Sepulveda Blvd., Los Angeles, CA 90045 | 2010-05-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.