Michael A. Stark M.D. A Medical Corporation

LBN: Michael A. Stark M.D. A Medical Corporation
Michael A. Stark M.D. A Medical Corporation is an health care organization with primary practice located at 1808 Verdugo Blvd Suite 313, Glendale CA 91208-1477. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. Michael A. Stark M.D. A Medical Corporation can be contacted via phone (818) 952-6183, or through Stark, Michael A via phone (818) 952-6183.

Contact Information

Primary practice address
1808 Verdugo Blvd Suite 313 Glendale CA 91208-1477
Fax: (818) 952-3603
Website:
Authorized official contact:
Name: Stark, Michael A Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X G33213 California

Profile Details

NPI number 1346465531
LBN Legal business name Michael A. Stark M.D. A Medical Corporation
DBA Doing business as
Authorized official Stark, Michael A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 15th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346465531 NPPES
California MEDICAID 00G332130

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