300 MEDICAL PLZ
LOS ANGELES, CA 90095-0001 US PECOS Enrolled
Overview
Gregory Marusak is a Psychiatrist in the LOS ANGELES area and has over 34 years of experience. Gregory Marusak primary office location is at 300 MEDICAL PLZ and new patients are welcome to contact this healthcare provider for an appointment. He attended Wayne State University School Of Medicine and graduated 1990 The NPI number is 1205851532 and the information was updated approximately 11 years ago.
Gregory Marusak is affiliated with one medical group in the LOS ANGELES area, UC REGENTS.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| G72110 | CA |
| Type/Issuer | Identifier | State |
|---|---|---|
| MEDICAID | 1205851532 | CA |
| MEDICAID | 00G721100 | CA |
| Taxonomy | State | Primary? |
|---|---|---|
| Psychiatrist - Taxonomy Code 2084P0800X | CA | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20130603000434 |
| PECOS Individual PAC ID: | 2961640925 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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