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NPI Code Detail

MEDICARE: MEANINGFUL CONNECT INC

MEDICARE: MEANINGFUL CONNECT INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QD1600XDevelopmental Disabilities Clinic/Center

General Provider Information

NPI Number : 1558082552
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEANINGFUL CONNECT INC
Provider Business Mailing Address
First Line : 4124 W BURBANK BLVD
Second Line :
City : BURBANK
State : CA
Zip : 91505-2121
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4124 W BURBANK BLVD
Second Line :
City : BURBANK
State : CA
Zip : 91505-2121
Country : US
Telephone Number : 818-605-2089
Fax Number :
Authorized Official
Title or Position : CFO
Name : MR. RAZMIG CHAHMELIKIAN
Credential :
Telephone Number : 818-650-2089
Provider Enumeration Date : 09/07/2022
Last Update Date : 10/20/2022

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Directions to “MEANINGFUL CONNECT INC ” Practice Location

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