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Individual

DR. MARC L LADENHEIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2701 W ALAMEDA AVE, STE 607, BURBANK, CA 91505-4411
(818) 846-3201
(818) 846-3939
Mailing address
2701 W ALAMEDA AVE, STE 607, BURBANK, CA 91505-4411
(818) 846-3201
(818) 846-3939

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G049875
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G498751
CA
Enumeration date
08/11/2005
Last updated
11/02/2016
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