DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: BRIGHTLIFE MEDICAL GROUP

MEDICARE: BRIGHTLIFE MEDICAL GROUP
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
1208000000XPediatrics Physician
2202D00000XIntegrative Medicine Physician

General Provider Information

NPI Number : 1417887670
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRIGHTLIFE MEDICAL GROUP
Provider Business Mailing Address
First Line : 4318 W VICTORY BLVD
Second Line :
City : BURBANK
State : CA
Zip : 91505-1334
Country : US
Telephone Number : 504-338-6596
Fax Number :
Provider Business Practice Location Address
First Line : 4318 W VICTORY BLVD
Second Line :
City : BURBANK
State : CA
Zip : 91505-1334
Country : US
Telephone Number : 504-338-6596
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : SUSHIL PRABAKARAN ANAND
Credential : MD
Telephone Number : 504-338-6596
Provider Enumeration Date : 05/20/2026
Last Update Date : 06/08/2026

Similar Medicare Providers

1851391965 — BURBANK MEDICAL SUPPLY, INC.
Practice Location Address:
4302 W VICTORY BLVD
BURBANK, CA
91505-1334
Practice Phone: 818-845-2884
Practice Fax: 818-845-3177
1952398265 — M & K PODIATRIC MEDICAL MANAGEMENT
Practice Location Address:
4314 W VICTORY BLVD
BURBANK, CA
91505-1334
Practice Phone: 818-843-6611
Practice Fax: 818-843-6656
1700865177 — DR. YEONG AN SHEU M.D.
Practice Location Address:
4314 W VICTORY BLVD
BURBANK, CA
91505-1334
Practice Phone: 818-845-1854
Practice Fax: 626-289-5686
1558448795 — ADVANCED GI CONSULTANTS MEDICAL GROUP, INC.
Practice Location Address:
4314 W VICTORY BLVD
BURBANK, CA
91505-1334
Practice Phone: 818-845-1854
Practice Fax: 626-289-5686
1316025513 — ROBERTO A. BEATON, M.D., INC.
Practice Location Address:
4314 W VICTORY BLVD
BURBANK, CA
91505-1334
Practice Phone: 818-843-6611
Practice Fax: 818-843-6656
1669550885 — ROBERTO ANGEL BEATON M.D.
Practice Location Address:
4314 W VICTORY BLVD
BURBANK, CA
91505-1334
Practice Phone: 818-843-6611
Practice Fax: 818-843-6656

Directions to “BRIGHTLIFE MEDICAL GROUP ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.