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Organization
VITAL SOLUTIONS MEDICAL GROUP
Active
Organization
VITAL SOLUTIONS MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN MARSHAK M.D. (MEDICAL DOCTOR)
(310) 914-9150
Entity
Organization
Contact information
Practice address
6000 SAN VICENTE BLVD FL 2, LOS ANGELES, CA 90036-4404
(310) 914-9150
(310) 914-9705
Mailing address
PO BOX 15655, BEVERLY HILLS, CA 90209-1655
(310) 914-9150
(310) 914-9705
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/28/2009
Last updated
07/28/2009
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