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General NPI Number Information
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NPI Number | 1225978679
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Entity Type | Organization
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Legal Business Name | MODERN HEALTH INSTITUTE
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Dates
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Enumeration Date | 03/28/2026
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Last Update Date | 03/28/2026
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Provider Practice Location Address
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Address Line | 3400 W RIVERSIDE DR STE 250
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City | BURBANK
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State | CA
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Zip | 91505-4680
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Country | US
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Telephone | 818-275-4425
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Fax |
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Provider Business Mailing Address
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Address Line | 3400 W RIVERSIDE DR STE 250
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City | BURBANK
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State | CA
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Zip | 91505-4680
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Country | US
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Telephone | 818-275-4425
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | BERJ DERMENDJIAN
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Credential | DO
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Telephone | 818-275-4425
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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