Organization
SCLC NORTH PC A MEDICAL GROUP
Active
Organization
SCLC NORTH PC A MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN ANDREW MARSHAK MD (OWNER)
(310) 553-5203
Entity
Organization
Contact information
Practice address
12665 GARDEN GROVE BLVD STE 304, GARDEN GROVE, CA 92843-1917
(310) 553-5203
Mailing address
8447 WILSHIRE BLVD, BEVERLY HILLS, CA 90211-3226
(310) 553-5203
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
—
—
207RI0008X
Hepatology Physician
Primary
—
—
Other
Enumeration date
07/14/2026
Last updated
07/14/2026
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