OrganizationActive
Innovative Medical Solutions Inc a Medical Group
NPI 1972624955 · Adolescent Medicine (Internal Medicine) Physician · Panorama City, CA
Provider details
- NPI number
- 1972624955
- Entity type
- Organization
- Primary specialty
- Adolescent Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Glenn Marshak, Owner
- License
- G78454 (CA)
Practice location
14860 Roscoe Blvd Ste 200
Panorama City, CA 91402-4683
Phone: (310) 553-5203
Mailing address
Po Box 15655
Beverly Hills, CA 90209-1655
Registry dates
- Enumerated
- 2007-04-03
- Last updated
- 2024-09-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.