St. Joseph Pulmonary Diagnostic Medical Group

NPI #1013035864 in Burbank, California

Provider Information

NPI Number: 1013035864
Entity Type: Organization
Organization Name: St. Joseph Pulmonary Diagnostic Medical Group
Primary Specialty: Specialist
Enumeration Date: Mar 27, 2007
Last Updated: Aug 21, 2012

Practice Location

Address: 501 S BUENA VISTA ST
City: Burbank
State: California
ZIP Code: 91505-4809
Phone: (818) 972-2626

Authorized Official

Name: DR. STEVEN TABACK, M.D.
Title: PRESIDENT
Phone: (818) 972-2626

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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