Organization Active NPI

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

  • Non-Pharmacy Dispensing Site
  • Beverly Hills, CA
National Provider Identifier
1174846919
Registry record updated Oct 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
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 CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 5, 2015

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)CodeLicenseStatePrimary
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 Doing business as

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.

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.

Verify at the official NPI Registry.