| NPI | 1861418576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN A MARSHAK President 323-567-8910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A55940) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A39722) |
| 208100000X Physical Medicine & Rehabilitation (Licence: CA PT 11601) | |
| 207X00000X Orthopaedic Surgery (Licence: CA G 23113) | |
| 208800000X Urology (Licence: CA A 76527) | |
| 207V00000X Obstetrics & Gynecology (Licence: CA A 35877) | |
| 363A00000X Physician Assistant (Licence: CA PA 17142) | |
| 213E00000X Podiatrist (Licence: CA E 2963) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A48912) | |
| 207R00000X Internal Medicine (Licence: CA G78454) | |
| 363A00000X Physician Assistant (Licence: CA PA16740) | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2008-02-22 |