Individual
HERBERT MARSHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1711 W TEMPLE ST, SUITE 4100, LOS ANGELES, CA 90026-5421
(213) 484-6681
(213) 484-6860
Mailing address
3250 WILSHIRE BLVD, SUITE 930, LOS ANGELES, CA 90010-1438
(213) 739-0019
(213) 739-0091
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A29118
CA
2084P0800X
Psychiatry Physician
A29118
CA
208D00000X
General Practice Physician
Primary
A29118
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A291180
BLUE SHIELD
CA
05
—
00A291180
—
CA
Enumeration date
09/07/2006
Last updated
07/14/2015
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