DR. MICHAEL M KOSHAK (NPI# 1689680696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689680696 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL M KOSHAK |
| Credential | MD |
| Practice Address |
11631 Victory Blvd 101 North Hollywood CA 91606-3572 |
| Mailing Address |
11631 Victory Blvd #101 North Hollywood CA 91606-3572 |
| Practice Telephone | 8187648838 |
| Practice Fax Number | 8184322238 |
| Mailing Telephone | 8187648838 |
| Mailing Fax Number | 8184322238 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2013-10-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A36588 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
11631 VICTORY BLVD 101 |
| City | NORTH HOLLYWOOD |
| State | CA |
| Zip Code | 91606-3572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457996555 | Josefina Jones | Licensed Vocational Nurse | 11631 Victory Blvd, North Hollywood, CA 91606-3572 | 2019-11-12 |
| 1104399344 | Julie Ann Berzon | Marriage & Family Therapist | 11631 Victory Blvd, North Hollywood, CA 91606-3572 | 2019-01-10 |
| 1205240017 | Nesyah Shaesteh | Family Medicine | 11631 Victory Blvd, North Hollywood, CA 91606-3572 | 2014-06-19 |
| 1710115340 | Comptonmed Inc | Anesthesiology | 11631 Victory Blvd, Suite 204, North Hollywood, CA 91606-3572 | 2009-06-22 |
| 1770728321 | Tami Reed | Counselor | 11631 Victory Blvd, North Hollywood, CA 91606-3572 | 2008-12-11 |
| 1407987613 | Palmer Todd | Marriage & Family Therapist | 11631 Victory Blvd, #203, North Hollywood, CA 91606-3572 | 2007-03-08 |
| 1912037060 | San Fernando Valley Community Mental Health Center | Psychiatry & Neurology | 11631 Victory Blvd, #203, North Hollywood, CA 91606-3572 | 2007-03-07 |
| 1891826525 | Stephen Merrill Friend | Marriage & Family Therapist | 11631 Victory Blvd, #203, North Hollywood, CA 91606-3572 | 2007-03-07 |
| 1538290275 | Amanda Kanarik | Rehabilitation Practitioner | 11631 Victory Blvd, #203, North Hollywood, CA 91606-3572 | 2007-03-07 |
| 1275662082 | Liliana Weichold | Counselor | 11631 Victory Blvd, Suite 203, North Hollywood, CA 91606-3572 | 2007-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972113355 | Marine Mary Kademyan | Nurse Practitioner | 6528 Babcock Ave, North Hollywood, CA 91606 | 2020-07-31 |
| 1306322409 | Ally Home Health, Inc. | Home Health | 12801 Victory Blvd, N Hollywood, CA 91606 | 2018-07-12 |
| 1083133730 | Amanda Kardonskiy | Counselor | 12821 Victory Blvd., North Hollywood, CA 91606 | 2017-09-13 |
| 1740719020 | Christian Quijano | Case Manager/Care Coordinator | 6736 Laurel Cyn. Blvd., Suite 200, North Hollywood, CA 91606 | 2017-06-08 |
| 1972032308 | Luis Angel Estrada | Rehabilitation Practitioner | 6736 Laurel Canyon Blvd. Unit 200, North Hollywood, CA 91606 | 2017-06-08 |
| 1003342262 | Mint Services | Medical Genetics | 12183 Victory Blvd, North Hollywood, CA 91606 | 2017-05-10 |
| 1912362443 | Paronian Medical Group, Inc. | Legal Medicine | 11631 Victory Blvd., Suite 105, North Hollywood, CA 91606 | 2015-12-29 |
| 1811364755 | Haig Mastikian | Dentist | 10835 Oxnard St, North Hollywood, CA 91606 | 2015-08-26 |
| 1962895805 | Jam Sports Inc | Clinic/Center | 12813 Victory Blvd, North Hollywood, CA 91606 | 2015-03-17 |
| 1750642880 | Heidi Raquel Donaire | Marriage & Family Therapist | 6736 Laurel Canyon Blvd., Ste. 200, North Hollywood, CA 91606 | 2012-06-05 |
| Find all providers in zip 91606 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700439122 | Cordial Medical Group | Family Medicine | 8049 Laurel Canyon Blvd, North Hollywood, CA 91605-1428 | 2019-07-24 |
| 1881926756 | N&h Medical Group Inc | Family Medicine | 11490 Burbank Blvd Ste 1b, North Hollywood, CA 91601-2391 | 2010-02-03 |
| 1942453709 | Arlet Shamalian | Family Medicine | 5250 Lankershim Blvd Fl 8, North Hollywood, CA 91601-3186 | 2008-10-24 |
| 1962688283 | David Reisbord | Family Medicine | 12115 Magnolia Blvd, 254, North Hollywood, CA 91607-2609 | 2008-01-16 |
| 1831387620 | Laurel Canyon Urgency Med Group | Family Medicine | 8020 Laurel Canyon Blvd, North Hollywood, CA 91605-1427 | 2007-10-05 |
| 1073722369 | Rizalino G Vicente | Family Medicine | 7544 Laurel Canyon Blvd, North Hollywood, CA 91605-3148 | 2007-05-22 |
| 1841325065 | Charlotte Margolin | Family Medicine | 12244 Oxnard Street, #2, North Hollywood, CA 91606-4640 | 2007-02-21 |
| 1578610200 | Randall Caldron Md Inc | Family Medicine | 11120 Burbank Blvd, Space 1a, North Hollywood, CA 91601-5708 | 2007-01-04 |
| 1811072978 | Vannithamby Jegapragasan | Family Medicine | 12660 Riverside Dr Ste 310320, North Hollywood, CA 91607-3429 | 2006-10-26 |
| 1942383740 | Bambi L. Nickelberry | Family Medicine | 11486 Burbank Blvd, North Hollywood, CA 91601-2301 | 2006-10-23 |
| Find all providers in NORTH HOLLYWOOD | ||||
| City | NORTH HOLLYWOOD |
| Zip Code | 91606 |
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| 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.