Provider Demographics
NPI:1376660829
Name:IRWIN SAVODNIK, M.D. & MEDICAL ASSOCIATES, INC.
Entity Type:Organization
Organization Name:IRWIN SAVODNIK, M.D. & MEDICAL ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRY
Authorized Official - Prefix:DR
Authorized Official - First Name:MARVIN
Authorized Official - Middle Name:A
Authorized Official - Last Name:KLEMES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-517-1717
Mailing Address - Street 1:2780 SKYPARK DR STE 260
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-5342
Mailing Address - Country:US
Mailing Address - Phone:310-517-1717
Mailing Address - Fax:310-517-9853
Practice Address - Street 1:9735 WILSHIRE BLVD STE 323
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-2108
Practice Address - Country:US
Practice Address - Phone:310-517-1717
Practice Address - Fax:310-517-9853
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG984103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Single Specialty