MEDICARE: DR. YURI FALKINSTEIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207XS0117X	Orthopaedic Surgery of the Spine Physician	A85756	CA

General Provider Information

NPI Number	:	1104923978
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. YURI FALKINSTEIN MD

Provider Business Mailing Address
First Line	:	2625 W ALAMEDA AVE STE 116
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91505-4815
Country	:	US
Telephone Number	:	818-841-3936
Fax Number	:	818-841-5974

Provider Business Practice Location Address
First Line	:	2625 W ALAMEDA AVE STE 116
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91505-4815
Country	:	US
Telephone Number	:	818-841-3936
Fax Number	:	818-841-5974

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	06/20/2016

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