Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | DC11018 | CA |
NPI | 1679649651 |
---|---|
Provider Name | Dr. Marc Gregory Pick |
First Address | Beverly Hills, CA 90211-2811 |
Second Address | Beverly Hills, CA 90211-2811 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/11/2006 |
Last Update Date | 08/07/2007 |