MEDICARE: MARBER GROUP INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	E1690	CA

General Provider Information

NPI Number	:	1437504545
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARBER GROUP INC

Provider Business Mailing Address
First Line	:	12725 OXNARD ST
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91606-4420
Country	:	US
Telephone Number	:	818-730-9435
Fax Number	:

Provider Business Practice Location Address
First Line	:	12725 OXNARD ST
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91606-4420
Country	:	US
Telephone Number	:	818-730-9435
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MARTIN BERNSTONE
Credential	:	DPM
Telephone Number	:	818-730-9435

Provider Enumeration Date	:	04/26/2016
Last Update Date	:	04/26/2016

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