Immunity Center, LLC.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

IMMUNITY CENTER, LLC.

Practice address

2010 N Glenoaks Blvd
Burbank, CA 91504-2835

Phone

(818) 906-4404

NPI assigned

Sep 4, 2023

Organization subpart

No

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

Authorized official

Name

Vilik Harutyunyan

Title

Administrator

Phone

(323) 793-7452

Specialties & licenses 2

Addresses

Other names 1

• Immunity Center Doing business as

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

{
    "created_epoch": "1693785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1992581110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 N GLENOAKS BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915042835",
            "telephone_number": "818-906-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 N GLENOAKS BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915042835",
            "telephone_number": "818-906-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMUNITY CENTER, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-04",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "HARUTYUNYAN",
        "authorized_official_first_name": "VILIK",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "323-793-7452"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Immunity Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Immunity Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Primary Care Clinic/Center in Burbank, CA
• Providers in Burbank, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.