Migdal, Mark

Migdal, Mark is an individual health care provider with primary practice located at 15107 Vanowen St , Van Nuys CA 91405-4542. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Migdal, Mark can be contacted via phone (818) 782-6600.

Contact Information

Primary practice address
15107 Vanowen St Van Nuys CA 91405-4542
Fax: (818) 715-1722
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X G47749 California
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X G47749 California

Profile Details

NPI number 1962478339
LBN Legal business name Migdal, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Mar 12th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962478339 NPPES
California Other WG47749A MEDICARE PPIN
California Other 00G477490 MEDICARE PPIN
California Other W19947 MEDICARE PPIN

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