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INNOVATIVE MEDICAL SOLUTIONS INC A MEDICAL GROUP
NPI 1972624955
Internal Medicine - Adolescent Medicine in Panorama City, CA

Active since April 03, 2007CLIA Certified · 4 labs
14860 ROSCOE BLVD STE 200, PANORAMA CITY, CA 91402(310) 553-5203 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 18, 2024, Sep 4, 2024, Jul 7, 2020 and 3 more (6 updates tracked since 2015).

About Innovative Medical Solutions Inc A Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INNOVATIVE MEDICAL SOLUTIONS INC A MEDICAL GROUP (NPI 1972624955) is a healthcare organization registered as an adolescent medicine in Panorama City, California and active in the NPI registry since April 2007. The organization holds 4 active CLIA laboratory certificates and lists Glenn A Marshak, Owner, as its authorized official.

NPPES Registry Identity

NPI1972624955
Entity TypeOrganization
Primary Taxonomy207RA0000X
Legal Business NameINNOVATIVE MEDICAL SOLUTIONS INC A MEDICAL GROUP
Location Address14860 ROSCOE BLVD STE 200Panorama City, CA 91402-4683
Mailing AddressPo Box 15655Beverly Hills, CA 90209-1655 · (310) 553-5203 · Fax (310) 659-0933
Phone(310) 553-5203
Organization SubpartNo
Authorized OfficialGlenn A MarshakOwner · (310) 553-5203
Enumeration DateApril 3, 2007
Last NPPES UpdateSeptember 18, 20246 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2024
✔ NPI 1972624955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0000X
License✔ Licensed in CA · G78454
Definition
An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
14860 ROSCOE BLVD STE 200, Panorama City, CA 91402
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 4

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2267988

Innovative Medical Solutions · Panorama City, CA
Active · expires Sep 1, 2026
CLIA Number05D2267988
Laboratory TypePhysician Office
Certificate Effective DateSeptember 2, 2024
Certificate Expiration DateSeptember 1, 2026
Laboratory DirectorGlenn Marshak
Laboratory Phone(310) 553-5203
Laboratory LocationInnovative Medical Solutions14860 Roscoe Blvd Ste 200, Panorama City, CA 91402
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2269612

Innovative Medical Solutions · Los Angeles, CA
Active · expires Sep 28, 2026
CLIA Number05D2269612
Laboratory TypePhysician Office
Certificate Effective DateSeptember 29, 2024
Certificate Expiration DateSeptember 28, 2026
Laboratory DirectorGlenn A. Marshak
Laboratory Phone(310) 553-5203
Laboratory LocationInnovative Medical Solutions2080 Century Park East Suite 710, Los Angeles, CA 90067
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2267989

Innovative Medical Solutions · Los Angeles, CA
Active · expires Sep 1, 2026
CLIA Number05D2267989
Laboratory TypePhysician Office
Certificate Effective DateSeptember 2, 2024
Certificate Expiration DateSeptember 1, 2026
Laboratory DirectorGlenn A. Marshak
Laboratory Phone(310) 553-5203
Laboratory LocationInnovative Medical Solutions3484 East 1st Street, Los Angeles, CA 90063
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2267990

Innovative Medical Solutions · Los Angeles, CA
Active · expires Sep 1, 2026
CLIA Number05D2267990
Laboratory TypePhysician Office
Certificate Effective DateSeptember 2, 2024
Certificate Expiration DateSeptember 1, 2026
Laboratory DirectorGlenn A. Marshak
Laboratory Phone(310) 553-5203
Laboratory LocationInnovative Medical Solutions2080 Century Park East Ste 1200, Los Angeles, CA 90067
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WESLEY GHASEM MD
Internal Medicine (Cardiovascular Disease)
14860 ROSCOE BLVD STE 200
PANORAMA CITY, CA 91402
Los Angeles County (310) 553-5203
EUGENE PAHK
Psychiatry & Neurology (Neurology)
14860 ROSCOE BLVD STE 200
PANORAMA CITY, CA 91402
Los Angeles County (310) 553-5203
ACCRETIVE MEDICAL GROUP, INC.
Internal Medicine
14860 ROSCOE BLVD STE 200
PANORAMA CITY, CA 91402
Los Angeles County (310) 871-8651
JACOB SCHWARTZ PA-C
Physician Assistant (Medical)
14860 ROSCOE BLVD STE 200
PANORAMA CITY, CA 91402
Los Angeles County (310) 553-5203
ONE WEST MEDICAL GROUP, A PROFESSIONAL CORPORATION
Internal Medicine
14860 ROSCOE BLVD STE 200
PANORAMA CITY, CA 91402
Los Angeles County (310) 553-5203
SANTO NINO HEALTH CENTER
Clinic/Center
14860 ROSCOE BLVD STE 200
PANORAMA CITY, CA 91402
Los Angeles County (818) 830-7751
LAUREN MICHELE JOSEPH MD
Family Medicine
14860 ROSCOE BLVD STE 200
PANORAMA CITY, CA 91402
Los Angeles County (310) 553-5203
JOSE RODRIGO GONZALEZ-CORREA MD
Family Medicine
14860 ROSCOE BLVD STE 200
PANORAMA CITY, CA 91402
Los Angeles County (818) 904-3132

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Innovative Medical Solutions Inc A Medical Group's NPI number?

The NPI number for Innovative Medical Solutions Inc A Medical Group is 1972624955. It was assigned to this organization in the NPPES registry on April 3, 2007.

Where is Innovative Medical Solutions Inc A Medical Group located?

Innovative Medical Solutions Inc A Medical Group is located at 14860 Roscoe Blvd Ste 200, Panorama City, CA 91402. The listed phone number is (310) 553-5203.

What is Innovative Medical Solutions Inc A Medical Group's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Adolescent Medicine, with taxonomy code 207RA0000X.

Does Innovative Medical Solutions Inc A Medical Group hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Innovative Medical Solutions Inc A Medical Group was last updated on September 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.