Pietruszka, Marvin
Pietruszka, Marvin is an sole proprietor health care provider with primary practice located at 19234 Vanowen St , Reseda CA 91335-5000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Pietruszka, Marvin can be contacted via phone (310) 914-9150.Contact Information
Primary practice address
19234 Vanowen St
Reseda CA 91335-5000
Phone: (310) 914-9150
Fax: (310) 914-9705
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A30858 | California |
Profile Details
| NPI number | 1740393446 |
|---|---|
| LBN Legal business name | Pietruszka, Marvin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 16th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740393446 | NPPES |
| California | MEDICAID | 00A308580 |
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