Michael Madievsky,M.D.

LBN: Michael Madievsky,M.D.
Michael Madievsky,M.D. is an health care organization with primary practice located at 18411 Clark St Ste 204 , Tarzana CA 91356-3535. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty. Michael Madievsky,M.D. can be contacted via phone (818) 996-4796, or through Madievsky, Michael via phone (818) 996-4796.

Contact Information

Primary practice address
18411 Clark St Ste 204 Tarzana CA 91356-3535
Phone: (818) 996-4796
Fax: (818) 996-4793
Website:
Map and Directions
Authorized official contact:
Name: Madievsky, Michael Doctor of Medicine (MD)
Phone: (818) 996-4796

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X A65040 California

Profile Details

NPI number 1558540294
LBN Legal business name Michael Madievsky,M.D.
DBA Doing business as
Authorized official Madievsky, Michael Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 30th, 2007
Last updated Nov 9th, 2010 - about 15 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 1558540294 NPPES
California MEDICAID 00A650400

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