Dr Michael Novak, MD | |
633 N Central Ave, Suite 305, Glendale, CA 91203-1801 | |
(818) 244-7281 | |
(818) 244-5912 |
Full Name | Dr Michael Novak |
---|---|
Gender | Male |
Speciality | Dermatology - Procedural Dermatology |
Location | 633 N Central Ave, Glendale, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063400703 | NPI | - | NPPES |
000G84050 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207NS0135X | Dermatology - Procedural Dermatology | G8405 (California) | Primary |
Entity Name | Su And Chang Dermatology Associates Apmc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932547882 PECOS PAC ID: 2062641103 Enrollment ID: O20140212000893 |
Mailing Address | Practice Location Address |
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Dr Michael Novak, MD 633 N Central Ave, Suite 305, Glendale, CA 91203-1801 Ph: (818) 244-7281 | Dr Michael Novak, MD 633 N Central Ave, Suite 305, Glendale, CA 91203-1801 Ph: (818) 244-7281 |
Yen Tun Wang, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1510 S Central Ave, Suite 470, Glendale, CA 91204 Phone: 818-242-6357 Fax: 818-242-3628 | |
Dr. Justine Hyoju Park, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 435 Arden Ave Ste 435, Glendale, CA 91203 Phone: 818-246-4936 Fax: 818-246-4937 | |
Alan M Mantell, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1818 Verdugo Blvd, Suite 304, Glendale, CA 91208 Phone: 818-790-3588 Fax: 818-790-6518 | |
Dr. Janice Park Kim, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 435 Arden Ave, #435, Glendale, CA 91203 Phone: 818-246-4936 Fax: 818-246-4937 | |
Dr. Thomas T. Su, M.D., PH.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 633 N Central Ave, Suite 305, Glendale, CA 91203 Phone: 818-244-7281 Fax: 818-244-5912 | |
Dr. Donny Mehrabi, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1505 Wilson Ter Ste 240, Glendale, CA 91206 Phone: 310-205-3555 |