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INNOVATIVE MEDICAL SOLUTIONS INC A MEDICAL GROUP NPI 1972624955


NPI Information

NPI: 1972624955
Provider Name: INNOVATIVE MEDICAL SOLUTIONS INC A MEDICAL GROUP
Classification: Internal Medicine - 207RA0000X
Entity Type: Organization

Specialization: Adolescent Medicine

Address:
14860 ROSCOE BLVD STE 200
PANORAMA CITY, CA
ZIP 91402
Phone: (310) 553-5203
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INNOVATIVE MEDICAL SOLUTIONS INC A MEDICAL GROUP is an adolescent medicine internal medicine in Panorama City, CA. The provider is an internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. INNOVATIVE MEDICAL SOLUTIONS INC A MEDICAL GROUP NPI is 1972624955. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

14860 ROSCOE BLVD STE 200
PANORAMA CITY, CA
ZIP 91402-683
Phone: (310) 553-5203

The provider's authorized official is Glenn A Marshak .
The authorized official title is Owner and has the following contact phone number (310) 553-5203.

The enumeration date for this NPI number is 4/3/2007 and was last updated on 7/7/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RA0000XInternal MedicineAdolescent MedicineG78454CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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