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General NPI Number Information
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NPI Number | 1861418576
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Entity Type | Organization
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Legal Business Name | MULTI HEALTH CARE MEDICAL GROUP INC.
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 02/22/2008
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Provider Practice Location Address
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Address Line | 3175 FIRESTONE BLVD
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City | SOUTH GATE
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State | CA
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Zip | 90280-2951
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Country | US
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Telephone | 323-567-8910
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Fax | 323-567-8953
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Provider Business Mailing Address
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Address Line | 3175 FIRESTONE BLVD
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City | SOUTH GATE
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State | CA
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Zip | 90280-2951
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Country | US
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Telephone | 323-567-8910
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Fax | 323-567-8953
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. GLENN A MARSHAK
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Credential | M.D.
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Telephone | 323-567-8910
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | A39722
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | PT 11601
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | G 23113
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | A 76527
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | A 35877
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA 17142
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License Number State | CA
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Taxonomy #7
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | E 2963
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License Number State | CA
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Taxonomy #8
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | A48912
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License Number State | CA
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Taxonomy #9
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | G78454
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License Number State | CA
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Taxonomy #10
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA16740
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License Number State | CA
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Taxonomy #11
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A55940
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License Number State | CA
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