OLIVE HEALTH MEDICAL GROUP INC (NPI# 1205077039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205077039 |
| Entity Type | Organization |
| Organization Name | OLIVE HEALTH MEDICAL GROUP INC |
| Practice Address |
500 E Olive Ave Suite 315 Burbank CA 91501-3316 |
| Practice Telephone | 8189721000 |
| Practice Fax Number | 8189729007 |
| Mailing Telephone | 8189721000 |
| Mailing Fax Number | 8189729007 |
| Enumeration Date | 2009-03-06 |
| Last Update Date | 2009-03-06 |
| Authorized Official Name | DR. KARINE KIRAKOSYAN (PRESIDENT) |
| Authorized Official Telephone | 8189721000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
500 E OLIVE AVE SUITE 315 |
| City | BURBANK |
| State | CA |
| Zip Code | 91501-3316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417958190 | Harold A Lubick | Dentist | 500 E Olive Ave, Suite #440, Burbank, CA 91501-3316 | 2005-08-03 |
| 1730544651 | Olive Health Pediatrics Inc | Pediatrics | 500 E Olive Ave, Suite 710, Burbank, CA 91501-3316 | 2015-12-18 |
| 1760869986 | Nars & Associates, A Psychological Corporation | Psychologist | 500 E Olive Ave, Suite #540, Burbank, CA 91501-3316 | 2015-04-27 |
| 1710370895 | Rowan Center for Behavioral Medicine, A Psychological Corporation | Psychologist | 500 E Olive Ave, Suite 540, Burbank, CA 91501-3316 | 2015-03-12 |
| 1932535366 | Amy Gabriela Dimitrakopoulos | Dentist | 500 E Olive Ave, Suite 430, Burbank, CA 91501-3316 | 2013-09-17 |
| 1447535380 | Bsp Physical Therapy Inc | Physical Therapist | 500 E Olive Ave, Ste 325, Burbank, CA 91501-3316 | 2011-10-11 |
| 1760779987 | Mark D Kaufman | Dentist | 500 E Olive Ave, Suite #330, Burbank, CA 91501-3316 | 2011-07-08 |
| 1619271947 | Carlos Alberto Flores | Obstetrics & Gynecology | 500 E Olive Ave, Suite 420, Burbank, CA 91501-3316 | 2010-12-30 |
| 1710298807 | Geoffrey K Lloyd Do A Professional Corporation | Family Medicine | 500 E Olive Ave, Suite 320, Burbank, CA 91501-3316 | 2010-06-23 |
| 1477887206 | Vladimir Ayvazyan | Internal Medicine | 500 E Olive Ave, 315, Burbank, CA 91501-3316 | 2009-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659922110 | Takako Downie | Technician | 640 E. Grinnell Dr., Burbank, CA 91501 | 2019-09-26 |
| 1629507231 | Jennifer S Robinson | Marriage & Family Therapist | 436 E Magnolia Blvd, 436 E Magnolia, Burbank, CA 91501 | 2017-06-07 |
| 1124485438 | Mary Annthonette De Guzman | Specialist | 16260 Ventura Blvd #600, Burbank, CA 91501 | 2016-01-19 |
| 1447671300 | George Pryor | Nurse Practitioner | 436 E Palm Ave Apt 203, Burbank, CA 91501 | 2013-12-19 |
| 1871920629 | Dewayne Allan Wolfer Jr. | Dentist | 421 East Angeleno Avenue, Suite 205, Burbank, CA 91501 | 2013-10-10 |
| 1255646295 | Jessica Edwards | Physical Therapist | 711 E Palm Ave Apt C, Burbank, CA 91501 | 2010-08-14 |
| 1154466365 | Loretta Ann Ganzer | Registered Nurse | 1060 Orchard Avenue, Suite I, Grand Junction, CO 91501 | 2007-02-21 |
| 1588757074 | Mohammad Reza Dadsetan | Specialist | 500e Olive Ave, Suit # 103, Burbank, CA 91501 | 2006-10-02 |
| 1780792739 | Spasoje M Neskovic | Family Medicine | 500 E Olive Ave Ste 750, Burbank, CA 91501 | 2006-08-29 |
| 1568475135 | Esmail David Hessami | Internal Medicine | 500 E Olive Avenue Suite #740, Burbank, CA 91501 | 2006-08-14 |
| Find all providers in zip 91501 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346751849 | Mcs Medical Group Inc | General Practice | 348 E Olive Sve, Suite B1, Burbank, CA 91502-1235 | 2017-10-24 |
| 1356415814 | Eugenia Davis | General Practice | 3703 W Burbank Blvd, Burbank, CA 91505-2240 | 2006-11-17 |
| 1598772337 | Elegant Skin Care Medical Center, Inc. | General Practice | 1117 N Hollywood Way, B, Burbank, CA 91505-2528 | 2006-08-02 |
| 1750308235 | Kusum Rudrappa | General Practice | 421 E Angeleno Ave, Ste: 206b, Burbank, CA 91501-2286 | 2006-07-17 |
| 1538146840 | Samir Ak Nazo | General Practice | 2307 W Empire Ave, Burbank, CA 91504-3318 | 2005-12-28 |
| 1306253687 | Pacific Accountable Care Network Inc | General Practice | 201 S Buena Vista St, Suite 425, Burbank, CA 91505-4569 | 2014-07-17 |
| 1285948927 | Aguiluz Medical Corporation, Inc | General Practice | 10970 Sherman Way, Burbank, CA 91505-1002 | 2010-08-05 |
| 1124288360 | Dyan M. Cole Md, Inc | General Practice | 401 S Glenoaks Blvd, Ste. # 203b, Burbank, CA 91502-1448 | 2008-06-11 |
| 1992981161 | Philip H Lee | General Practice | 421 E Angeleno Ave Ste 102, Burbank, CA 91501-2286 | 2008-01-17 |
| 1821273517 | Paula J. Schoen | General Practice | 3808 W Riverside Dr, Suite 200, Burbank, CA 91505-4325 | 2008-01-01 |
| Find all providers in BURBANK | ||||
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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.