Dr. Michael Novak
Procedural Dermatology
633 N Central Ave Suite 305
Glendale
, California 91203-1801
Dr. Michael Novak
Procedural Dermatology
633 N Central Ave Suite 305
Glendale
, California 91203-1801
(818) 244-5912
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About
Features
Specialties
- Procedural Dermatology
Languages spoken
- English
Location
First Address
- Dr. Michael Novak
- 633 N Central Ave Suite 305
- Glendale, CA
- Zip : 91203-1801
- Fax : (818) 244-5912
- Phone : (818) 244-7281
Second Address
- Dr. Michael Novak
- 633 N Central Ave Suite 305
- Glendale, CA
- Zip : 91203-1801
- Fax : (818) 244-5912
- Phone : (818) 244-7281
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207NS0135X | Procedural Dermatology | G8405 | CA |
National Provider Identifier
| NPI | 1063400703 |
|---|---|
| Provider Name | Dr. Michael Novak |
| First Address | Glendale, CA 91203-1801 |
| Second Address | Glendale, CA 91203-1801 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/10/2005 |
| Last Update Date | 20/10/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000G84050 | (05) | CA |
| C36205 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.