Active NPI
Glenn a. Marshak, M.D., a Medical Corporation
- Non-Pharmacy Dispensing Site
- Beverly Hills, CA
National Provider Identifier
1174846919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-Pharmacy Dispensing Site
- Legal business name
- GLENN A. MARSHAK, M.D., A MEDICAL CORPORATION
- Practice address
- 8670 Wilshire Blvd
Suite 203
Beverly Hills, CA 90211-2924 - Phone
- (213) 483-2160
- NPI assigned
- Mar 8, 2010
- Organization subpart
- Yes
- Parent organization
- GLENN A. MARSHAK, M.D., A MEDICAL CORPORATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Glenn Marshak, MD
- Title
- Owner
- Phone
- (213) 483-2160
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | Primary |
Addresses
Primary practice location
8670 Wilshire Blvd
Suite 203
Beverly Hills, CA 90211-2924
Mailing address
2980 N Beverly Glen Cir
Ste 100
Los Angeles, CA 90077-1726
Phone (310) 474-9809
Other names 1
- Vital Solutions Medical Group
National Provider Directory
National Provider Directory- Part of
- Glenn a Marshak MD a Medical Corporation
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Internal Medicine Physician
- Beverly Hills, CA
- NPI 1144464140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1444003200000",
"number": "1174846919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2980 N BEVERLY GLEN CIR",
"address_2": "STE 100",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900771726",
"telephone_number": "310-474-9809",
"fax_number": "888-431-8819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8670 WILSHIRE BLVD",
"address_2": "SUITE 203",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902112924",
"telephone_number": "213-483-2160"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLENN A. MARSHAK, M.D., A MEDICAL CORPORATION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GLENN A. MARSHAK, M.D., A MEDICAL CORPORATION",
"enumeration_date": "2010-03-08",
"last_updated": "2015-10-05",
"status": "A",
"authorized_official_last_name": "MARSHAK",
"authorized_official_first_name": "GLENN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "213-483-2160",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "332900000X",
"taxonomy_group": "",
"desc": "Non-Pharmacy Dispensing Site",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Vital Solutions Medical Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.