Magnolia Neurodiagnostic Inc

Primary specialty

Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X

Legal business name

MAGNOLIA NEURODIAGNOSTIC INC

Practice address

4020 W Magnolia Blvd
E
Burbank, CA 91505-2828

Phone

(818) 260-0595

Fax

(818) 260-8792

NPI assigned

Jul 25, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Milena Melkonyan

Title

Ceo/President

Phone

(818) 260-0595

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311552000000",
    "number": "1225316284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 W MAGNOLIA BLVD",
            "address_2": "E",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915052828",
            "telephone_number": "818-260-0595",
            "fax_number": "818-260-8792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 W MAGNOLIA BLVD",
            "address_2": "E",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915052828",
            "telephone_number": "818-260-0595",
            "fax_number": "818-260-8792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA NEURODIAGNOSTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-25",
        "last_updated": "2011-07-25",
        "status": "A",
        "authorized_official_last_name": "MELKONYAN",
        "authorized_official_first_name": "MILENA",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "818-260-0595",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magnolia Care Center, Inc.
• Magnolia Diagnostic Inc
• Magnolia Home Health Care Services, Inc
• Magnolia Hospice Care, Inc.
• Magnolia Medical Supply Inc
• Magnolia Pharmaceutical Corp (Magnolia Pharmacy)
• David Maguire
• Terry A Mah, PHARM.D.
• Mahaba Wellness Center, Inc.
• Maharlika Healthcare Services, Inc. (Ambiance Home Health)

• Clinical Neurophysiology Physician in Burbank, CA
• Providers in Burbank, CA by specialty
• Clinical Neurophysiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.