Individual
DR. JEFFREY ELLIS MARSHAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
390 N SEPULVEDA BLVD, SUITE# 1100, EL SEGUNDO, CA 90245-4475
(310) 641-1700
(310) 535-2155
Mailing address
390 N SEPULVEDA BLVD, SUITE#1100, EL SEGUNDO, CA 90245-4475
(310) 641-1700
(310) 535-2155
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
5564T
CA
152W00000X
Optometrist
Primary
OPT 5564 TPL
CA
Other
Enumeration date
02/27/2007
Last updated
01/12/2012
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