Infiniti Medical Group Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

INFINITI MEDICAL GROUP INC

Practice address

14407 Hamlin St
Unit B
Van Nuys, CA 91401-6228

Phone

(818) 646-1610

Fax

(818) 646-1630

NPI assigned

Dec 18, 2016

Organization subpart

No

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

Authorized official

Name

Alva A Marsh, M. D.

Title

President

Phone

(818) 646-1610

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1482019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482019200000",
    "number": "1396289864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14407 HAMLIN ST",
            "address_2": "UNIT B",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914016228",
            "telephone_number": "818-646-1610",
            "fax_number": "818-646-1630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14407 HAMLIN ST",
            "address_2": "UNIT B",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914016228",
            "telephone_number": "818-646-1610",
            "fax_number": "818-646-1630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITI MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-18",
        "last_updated": "2016-12-18",
        "status": "A",
        "authorized_official_last_name": "MARSH",
        "authorized_official_first_name": "ALVA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-646-1610",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RH0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Danessa Marielle Inguito, BCBA
• Injectable Therapy Services Inc
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• Internal Medicine Physician in Van Nuys, CA
• Providers in Van Nuys, 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 Dec 18, 2016; 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.