Organization
MICHAEL NOVAK, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL NOVAK M.D. (PRESIDENT)
(818) 244-7281
Entity
Organization
Contact information
Practice address
633 N CENTRAL AVE, SUITE 305, GLENDALE, CA 91203-1801
(818) 244-7281
(818) 244-5912
Mailing address
633 N CENTRAL AVE, SUITE 305, GLENDALE, CA 91203-1801
(818) 244-7281
(818) 244-5912
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000G84050
—
CA
Enumeration date
11/16/2006
Last updated
08/22/2020
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