INNOVATIVE MEDICAL SOLUTIONS INC A MEDICAL GROUP – NPI #1972624955
Internal Medicine

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.

Health Care Provider Taxonomy Code for Internal Medicine

INNOVATIVE MEDICAL SOLUTIONS INC A MEDICAL GROUP is a provider located in PANORAMA CITY, CA. NPPES has assigned the NPI number 1972624955 to INNOVATIVE MEDICAL SOLUTIONS INC A MEDICAL GROUP on April 03, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RA0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Adolescent Medicine

The NPI profile was last updated on Sep 18, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for INNOVATIVE MEDICAL SOLUTIONS INC A MEDICAL GROUP below.

NPI Profile for
INNOVATIVE MEDICAL SOLUTIONS INC A MEDICAL GROUP

NPI Number
1972624955
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
INNOVATIVE MEDICAL SOLUTIONS INC A MEDICAL GROUP
Primary location
14860 ROSCOE BLVD STE 200
PANORAMA CITY, CA 91402-4683
Phone: (310) 553-5203 Fax:
Mailing address
PO BOX 15655
BEVERLY HILLS, CA 90209-1655
Phone: (310) 553-5203 Fax: (310) 659-0933
Organization Subpart
No
Authorized Official
GLENN MARSHAK
OWNER
Phone: (310) 553-5203
Updated
Certification Date
Sep 18, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RA0000X
- Internal Medicine / Adolescent Medicine (Primary)		 CA G78454

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.