Healthcare Provider Details

I. General information

NPI: 1225978679
Provider Name (Legal Business Name): MODERN HEALTH INSTITUTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2026
Last Update Date: 03/28/2026
Certification Date: 03/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 W RIVERSIDE DR STE 250
BURBANK CA
91505-4680
US

IV. Provider business mailing address

3400 W RIVERSIDE DR STE 250
BURBANK CA
91505-4680
US

V. Phone/Fax

Practice location:
  • Phone: 818-275-4425
  • Fax:
Mailing address:
  • Phone: 818-275-4425
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: BERJ DERMENDJIAN
Title or Position: PRESIDENT
Credential: DO
Phone: 818-275-4425