Marvin Pietruszka in Reseda - Internal Medicine

Marvin Pietruszka - NPI 1740393446

Marvin Pietruszka is a Internal Medicine in Reseda, California. Marvin Pietruszka practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Marvin Pietruszka is 1740393446. The last update date is 2007-07-08.

Marvin Pietruszka's current location address is 19234 Vanowen St, Reseda, California. You can contact this provider via phone number 3109149150 and fax number 3109149705. The mailing address for Marvin Pietruszka is 19234 Vanowen St, Reseda, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Marvin Pietruszka
Address 19234 Vanowen St, Reseda, California
Phone Number 3109149150
Fax Number 3109149705
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1740393446
Provider Enumeration Date 2006-08-16
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 19234 Vanowen St
City Reseda
State California (CA)
Post Code 913355000
Phone Number 3109149150
Fax Number 3109149705

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No A30858
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00A308580 CA --

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FAQs about Marvin Pietruszka

What is the unique identification code assigned to Marvin Pietruszka by the Centers for Medicare & Medicaid Services?

The Marvin Pietruszka has been issued the NPI (National Provider Identifier) 1740393446. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Marvin Pietruszka is physically located?

The Marvin Pietruszka is physically situated at the following address: 19234 Vanowen St, Reseda, CA, 913355000.

What is Marvin Pietruszka's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Marvin Pietruszka is Internal Medicine, and the taxonomy code that categorizes this field of expertise is 207R00000X.

On what date did the Marvin Pietruszka receive the assignment of its 1740393446 from the Centers for Medicare & Medicaid Services?

The Marvin Pietruszka was issued its 1740393446 by the Centers for Medicare & Medicaid Services on 2006-08-16.

As of what date were the details pertaining to Marvin Pietruszka last refreshed?

The information related to the Marvin Pietruszka, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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