Healthcare Provider Details

I. General information

NPI: 1831114271
Provider Name (Legal Business Name): MELVIN A BELAFSKY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2006
Last Update Date: 08/28/2009
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: 818-843-4914
Mailing address:
  • Phone: 818-843-8184
  • Fax: 818-843-4914

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberG27615
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: