Glenn a. Marshak, M.D. Medical Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G78454 Issued in CA

Legal business name

GLENN A. MARSHAK, M.D. MEDICAL CORPORATION

Practice address

8670 Wilshire Blvd Ste 206
Beverly Hills, CA 90211-2930

Phone

(310) 855-0752

Fax

(310) 855-0753

NPI assigned

Apr 22, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Glenn A Marshak, M.D.

Title

Ceo

Phone

(310) 855-0752

Specialties & licenses 1

Addresses

Tax ID family

Glenn a Marshak MD Medical Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Vital Solutions Medical Group

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1699906453
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Glenn a. Marshak, M.D., a Medical Corporation

  dba Vital Solutions Medical Group

  • Non-Pharmacy Dispensing Site
  • Beverly Hills, CA
  • NPI 1174846919
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240358400000",
    "number": "1144464140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8670 WILSHIRE BLVD STE 206",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112930",
            "telephone_number": "310-855-0752",
            "fax_number": "310-855-0753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8670 WILSHIRE BLVD STE 206",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112930",
            "telephone_number": "310-855-0752",
            "fax_number": "310-855-0753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN A. MARSHAK, M.D. MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-22",
        "last_updated": "2009-04-22",
        "status": "A",
        "authorized_official_last_name": "MARSHAK",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-855-0752",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G78454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kriya Emanuelle Gishen, MD
• Anne Miriam Glaser, MD
• Leila Glass, PHD
• Peyton Glass, OD
• Harry A. Glassman, M.D.
• Glenn a. Marshak, M.D., a Medical Corporation (Vital Solutions Medical Group)
• Laura S Glick Meyer, AMFT
• Miriam Glicksberg, AUD
• Arthur Glosman, D.D.S.
• Holly Anne Gloudemans

• Internal Medicine Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.