Novak, Michael

Novak, Michael is an individual health care provider with primary practice located at 633 N Central Ave Suite 305, Glendale CA 91203-1801. He recently has only one registered license in Allopathic & Osteopathic Physicians / Procedural Dermatology, which is considered as his primary health care specialty. Novak, Michael can be contacted via phone (818) 244-7281.

Contact Information

Primary practice address
633 N Central Ave Suite 305 Glendale CA 91203-1801
Phone: (818) 244-7281
Fax: (818) 244-5912
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X G8405 California

Profile Details

NPI number 1063400703
LBN Legal business name Novak, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2005
Last updated Oct 20th, 2011 - about 13 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 1063400703 NPPES
California MEDICAID 000G84050

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