Healthcare Provider Details

I. General information

NPI: 1134044993
Provider Name (Legal Business Name): YOUR MD FOR CA PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4100 W ALAMEDA AVE STE 314
BURBANK CA
91505-4195
US

IV. Provider business mailing address

4100 W ALAMEDA AVE STE 314
BURBANK CA
91505-4195
US

V. Phone/Fax

Practice location:
  • Phone: 818-319-5656
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: SUSHIL P. ANAND
Title or Position: CEO
Credential:
Phone: 818-319-5656