Healthcare Provider Details

I. General information

NPI: 1124039862
Provider Name (Legal Business Name): MELVIN A. BELAFSKY MD INC, A MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2701 W ALAMEDA AVE STE 202
BURBANK CA
91505-4406
US

IV. Provider business mailing address

2701 W ALAMEDA AVE STE 202
BURBANK CA
91505-4406
US

V. Phone/Fax

Practice location:
  • Phone: 818-843-8184
  • Fax:
Mailing address:
  • Phone: 818-843-8184
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State

VIII. Authorized Official

Name: MELVIN A BELAFSKY
Title or Position: CEO
Credential: MD
Phone: 818-843-8184