Provider Demographics
NPI:1154939098
Name:ABSOLUTE MEDICAL PARTNERS, A PROFESSIONAL MEDICAL CORPORATION
Entity type:Organization
Organization Name:ABSOLUTE MEDICAL PARTNERS, A PROFESSIONAL MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GLENN
Authorized Official - Middle Name:
Authorized Official - Last Name:MARSHAK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-757-7222
Mailing Address - Street 1:18000 STUDEBAKER RD.
Mailing Address - Street 2:STE 100
Mailing Address - City:CERRITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90703
Mailing Address - Country:US
Mailing Address - Phone:818-757-7222
Mailing Address - Fax:818-757-7222
Practice Address - Street 1:18000 STUDEBAKER RD.
Practice Address - Street 2:STE 100
Practice Address - City:CERRITOS
Practice Address - State:CA
Practice Address - Zip Code:90703
Practice Address - Country:US
Practice Address - Phone:818-757-7222
Practice Address - Fax:818-757-7222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-16
Last Update Date:2020-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization