Toluca Lake Health Center

LBN: Motion Picture And Television Fund Medical Group
Toluca Lake Health Center is an health care organization with primary practice located at 4323 W Riverside Dr , Burbank CA 91505-4044. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Motion Picture And Television Fund Medical Group can be contacted via phone (818) 556-2700, or through Ellis, Seth via phone (818) 876-1079.

Contact Information

Primary practice address
4323 W Riverside Dr Burbank CA 91505-4044
Phone: (818) 556-2700
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ellis, Seth
Phone: (818) 876-1079

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1396762100
LBN Legal business name Motion Picture And Television Fund Medical Group
DBA Doing business as Toluca Lake Health Center
Authorized official Ellis, Seth
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2006
Last updated Feb 8th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396762100 NPPES
California Other ZZZ09389Z BLUE SHIELD

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