Healthcare Provider Details

I. General information

NPI: 1285658708
Provider Name (Legal Business Name): VALLEY NEONATOLOGY MEDICAL ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 09/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 S BUENA VISTA ST NICU
BURBANK CA
91505-4809
US

IV. Provider business mailing address

501 S BUENA VISTA ST NICU
BURBANK CA
91505-4809
US

V. Phone/Fax

Practice location:
  • Phone: 818-847-6332
  • Fax: 818-847-6339
Mailing address:
  • Phone: 818-847-6332
  • Fax: 818-847-6339

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PAUL HINKES
Title or Position: PARTNER
Credential: M.D.
Phone: 818-847-6332