Provider Demographics
NPI:1962788463
Name:BURBANK OCCUPATIONAL HEALTH CENTER INC
Entity type:Organization
Organization Name:BURBANK OCCUPATIONAL HEALTH CENTER INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:JASON
Authorized Official - Last Name:TOTH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-953-4408
Mailing Address - Street 1:3413 W PACIFIC AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-1555
Mailing Address - Country:US
Mailing Address - Phone:818-953-4408
Mailing Address - Fax:818-953-4434
Practice Address - Street 1:3413 W PACIFIC AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-1555
Practice Address - Country:US
Practice Address - Phone:818-953-4408
Practice Address - Fax:818-953-4434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-27
Last Update Date:2019-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent CareGroup - Single Specialty