MARCOS FLEIDERMAN MD CORP (NPI# 1053762138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053762138 |
| Entity Type | Organization |
| Organization Name | MARCOS FLEIDERMAN MD CORP |
| Practice Address |
18372 Clark St Suite 212 Tarzana CA 91356-3508 |
| Mailing Address |
Po Box 2151 Malibu CA 90265-7151 |
| Practice Telephone | 8187089942 |
| Mailing Telephone | 8189869099 |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2016-06-29 |
| Authorized Official Name | MARCOS FLEIDERMAN (OWNER) |
| Authorized Official Telephone | 8189869099 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
CA | Ambulatory Health Care Facilities |
| Street Address |
18372 CLARK ST SUITE 212 |
| City | TARZANA |
| State | CA |
| Zip Code | 91356-3508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427027572 | Lawrence Strick | Allergy & Immunology | 18372 Clark St, Ste 208, Tarzana, CA 91356 | 2006-03-14 |
| 1487082442 | Rachel Goodman | Dietitian, Registered | 18372 Clark St, Suite 228, Tarzana, CA 91356-3508 | 2013-10-29 |
| 1437463957 | Marcos B Fleiderman M D Medical Corporation | Internal Medicine | 18372 Clark St, Suite 212, Tarzana, CA 91356-3508 | 2010-07-27 |
| 1003016494 | Jay B. Reznick, Dmd, Md, Inc. | Dentist | 18372 Clark St, Suite 224, Tarzana, CA 91356-3508 | 2007-07-23 |
| 1114140464 | Medical Nutrition Network LLC | Dietitian, Registered | 18372 Clark St, Suite 228, Tarzana, CA 91356-3508 | 2007-04-11 |
| 1083775696 | Susan J Lee | Dentist | 18372 Clark St, Suite 224, Tarzana, CA 91356-3508 | 2006-12-13 |
| 1063585214 | Valley Regional Arrhythmia Center Inc | Specialist | 18372 Clark St, Suite 218, Tarzana, CA 91356-3508 | 2006-11-16 |
| 1881763472 | Ellen Thomson Bauersfeld | Dietitian, Registered | 18372 Clark St, Suite 226, Tarzana, CA 91356-3508 | 2006-11-07 |
| 1962519272 | Jay Brian Reznick | Dentist | 18372 Clark St, Suite 224, Tarzana, CA 91356-3508 | 2006-08-23 |
| 1043232960 | Larry Eisenberg | Pediatrics | 18372 Clark St, #216, Tarzana, CA 91356 | 2006-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679137293 | Sarah Badreau | Behavior Technician | 5554 Reseda Blv., Tarzana, CA 91356 | 2019-04-29 |
| 1831661966 | Daraie Dental Group Inc | Dentist | 5620 Wilbur Avenue Ste 300, Tarzana, CA 91356 | 2018-12-31 |
| 1982182770 | Blanca Garay | Respiratory Therapist, Registered | 18214 Burbank Blvd Apt 120, Tarzana, CA 91356 | 2018-08-02 |
| 1437659000 | Chloe Kang | Speech-Language Pathologist | 19019 Ventura Blvd., Tarzana, CA 91356 | 2018-02-20 |
| 1114430139 | Avb & Lv Corporation | Home Health | 18340 Ventura Blvd Ste 220, Tarzana, CA 91356 | 2017-11-13 |
| 1881110468 | Samina Qadir | Registered Nurse | 18321 Clark St., Tarzana, CA 91356 | 2017-08-16 |
| 1700306776 | Debbie Rehman Lux | Marriage & Family Therapist | 18370 Burbank Blvd., Suite 211, Tarzana, CA 91356 | 2017-06-21 |
| 1467980631 | Valley Nerological Services, LLC | Radiology | 5260 Wilbur Ave Ste 207, Tarzana, CA 91356 | 2017-05-31 |
| 1669906020 | Evolve Growth Initiatives LLC | Clinic/Center | 5435 Aura Avenue, Tarzana, CA 91356 | 2017-04-12 |
| 1780130088 | Evolve Growth Initiatives, LLC | Clinic/Center | 5358 Vanalden Drive, Tarzana, CA 91356 | 2016-08-28 |
| Find all providers in zip 91356 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629327994 | Michael D. Landman, M.d., Inc. | Clinic/Center | 5525 Etiwanda Ave, Suite 312, Tarzana, CA 91356-3647 | 2012-09-02 |
| 1336330745 | Robert W. Oblath, M.d., Inc. | Clinic/Center | 18370 Burbank Blvd, #607, Tarzana, CA 91356-2804 | 2007-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740807213 | Drmsh Corp | Clinic/Center | 2045 Thayer Ave, Los Angeles, CA 90025-5926 | 2020-07-01 |
| 1588286603 | Tri Health Medical Institute Management Company LLC | Clinic/Center | 17777 Ventura Blvd Ste 100, Encino, CA 91316-3738 | 2020-05-12 |
| 1699394460 | Bay Area Kidney Care Medical Group Inc. | Clinic/Center | 39370 Mozart Terrace Unit 106, Fremont, CA 94538 | 2020-04-13 |
| 1669007274 | Hough Chiropractic Inc | Clinic/Center | 11770 Warner Ave Ste 122, Fountain Valley, CA 92708-2660 | 2020-03-04 |
| 1760017412 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 2409 Artesia Blvd, Redondo Beach, CA 90278-3207 | 2020-03-03 |
| 1316572068 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 1317 Main St Ste B, Delano, CA 93215-1737 | 2020-03-03 |
| 1588299234 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 20111 W Valley Blvd, Tehachapi, CA 93561-8747 | 2020-03-03 |
| 1003440884 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 300 Old River Rd Ste 120, Bakersfield, CA 93311-9512 | 2020-03-02 |
| 1083247795 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 1025 N Demaree St, Visalia, CA 93291-4117 | 2020-02-20 |
| 1780217489 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 621 W Line St Ste 105, Bishop, CA 93514-3320 | 2020-02-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MARCOS FLEIDERMAN MD CORP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.