Ladenheim, Marc L

Ladenheim, Marc L is an sole proprietor health care provider with primary practice located at 2701 W Alameda Ave Ste 607, Burbank CA 91505-4411. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Ladenheim, Marc L can be contacted via phone (818) 846-3201.

Contact Information

Primary practice address
2701 W Alameda Ave Ste 607 Burbank CA 91505-4411
Phone: (818) 846-3201
Fax: (818) 846-3939
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X G049875 California

Profile Details

NPI number 1558363416
LBN Legal business name Ladenheim, Marc L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 11th, 2005
Last updated Nov 2nd, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558363416 NPPES
California MEDICAID 00G498751

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