Marshak Medical Group, Inc

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

MARSHAK MEDICAL GROUP, INC

Practice address

3484 E 1St St
Los Angeles, CA 90063-2946

Phone

(818) 596-5555

NPI assigned

Aug 11, 2010

Organization subpart

Yes

Parent organization

MARSHAK MEDICAL GROUP, INCAs reported in NPPES

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

Authorized official

Name

Herbert Marshak, M.D.

Title

Medical Director

Phone

(818) 596-5555

Specialties & licenses 1

Addresses

Part of

Marshak Medical Group I

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.

• Marshak Medical Group Inc

  • Adolescent Medicine (Family Medicine) Physician
  • Los Angeles, CA
  • NPI 1770604779
  NPPES parent name

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

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1487969689",
    "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": "3484 E 1ST ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900632946",
            "telephone_number": "818-596-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHAK MEDICAL GROUP, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARSHAK MEDICAL GROUP, INC",
        "enumeration_date": "2010-08-11",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "MARSHAK",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "818-596-5555",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberlee Ann Marsh
• Leah Marsh, M.D.
• Marsha Medical Group of Ca, P.C.
• Marsha Mouton DDS, Inc
• Marshak Medical Group Inc
• Alissa Marshak, M.S., CCC-SLP
• Herbert Marshak, MD
• Sidney Marshak, M.D.
• Marshal P Fichman MD a Professional Corp
• Marshall B. Ketchum University/University Eye Center at Los Angeles

• Non-Pharmacy Dispensing Site in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Non-Pharmacy Dispensing Site in California

• 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.