# MARSHAK MEDICAL GROUP, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MARSHAK MEDICAL GROUP, INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1487969689
- **Legal business name:** MARSHAK MEDICAL GROUP, INC
- **Authorized official:** HERBERT MARSHAK M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (818) 596-5555

## Contact information

- **Practice address:** 3484 E 1ST ST, LOS ANGELES, CA 90063-2946
- **Practice address phone:** (818) 596-5555
- **Mailing address:** 2980 N BEVERLY GLEN CIR, STE 100, LOS ANGELES, CA 90077-1726
- **Mailing address phone:** (310) 474-9809
- **Mailing address fax:** (888) 431-8819

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 08/11/2010
- **Last updated:** 10/05/2015