Sherman Oaks Medical GRP Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G12156 Issued in CA

Legal business name

SHERMAN OAKS MEDICAL GRP INC

Practice address

4529 Sherman Oaks Avenue
Sherman Oaks, CA 91403-3820

Phone

(818) 986-8193

Fax

(818) 986-7133

NPI assigned

Dec 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael A Kirsch, MD

Title

President

Phone

(818) 986-8193

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223424000000",
    "number": "1932268968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4529 SHERMAN OAKS AVENUE",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033820",
            "telephone_number": "818-986-8193",
            "fax_number": "818-986-7133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4529 SHERMAN OAKS AVENUE",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033820",
            "telephone_number": "818-986-8193",
            "fax_number": "818-986-7133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERMAN OAKS MEDICAL GRP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2008-10-08",
        "status": "A",
        "authorized_official_last_name": "KIRSCH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-986-8193",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G12156",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G38404",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherman Oaks Emergency Medical Associates
• Sherman Oaks Emergency Medical Associates, Inc.
• Sherman Oaks Family Medicine Inc
• Sherman Oaks Integrated Medical Group, Inc.
• Sherman Oaks Medical Associates a Prof Corp
• Sherman Oaks Medical Supplies, Inc
• Sherman Oaks Mental Health Group
• Sherman Oaks Mental Health Group
• Sherman Oaks Mental Health Group GP
• Sherman Oaks Pain and Spine Institute Inc

• Internal Medicine Physician in Sherman Oaks, CA
• Providers in Sherman Oaks, 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 Oct 8, 2008; 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.