Marshal P Fichman MD a Professional Corp

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

A19736 Issued in CA

Legal business name

MARSHAL P FICHMAN MD A PROFESSIONAL CORP

Practice address

8635 W 3Rd St
Suite 292W
Los Angeles, CA 90048-6101

Phone

(310) 271-5784

Fax

(310) 289-8801

NPI assigned

Feb 22, 2010

Organization subpart

No

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

Authorized official

Name

Marshal P Fichman, MD

Title

President

Phone

(310) 271-5784

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266796800000",
    "number": "1487976106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8635 W 3RD ST",
            "address_2": "SUITE 292W",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900486101",
            "telephone_number": "310-271-5784",
            "fax_number": "310-289-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8635 W 3RD ST",
            "address_2": "SUITE 292W",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900486101",
            "telephone_number": "310-271-5784",
            "fax_number": "310-289-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHAL P FICHMAN MD A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-22",
        "last_updated": "2010-02-22",
        "status": "A",
        "authorized_official_last_name": "FICHMAN",
        "authorized_official_first_name": "MARSHAL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-271-5784",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "A19736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A197360",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marshak Medical Group Inc
• Marshak Medical Group, Inc
• Alissa Marshak, M.S., CCC-SLP
• Herbert Marshak, MD
• Sidney Marshak, M.D.
• Marshall B. Ketchum University/University Eye Center at Los Angeles
• Marshall Dental Group
• Marshall Jay Keyes M D a Medical Corporation
• Marshall L. Grode, M.D a Professional Corporation
• Andre Orlando Marshall, RPFT

• Health Service Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; 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.