Organization
INNOVATIVE MEDICAL SOLUTIONS INC A MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN A MARSHAK M.D. (OWNER)
(310) 553-5203
Entity
Organization
Contact information
Practice address
14860 ROSCOE BLVD STE 200, PANORAMA CITY, CA 91402-4683
(310) 553-5203
Mailing address
PO BOX 15655, BEVERLY HILLS, CA 90209-1655
(310) 553-5203
(310) 659-0933
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
G78454
CA
Other
Enumeration date
04/03/2007
Last updated
09/18/2024
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