Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Michael M Koshak, MD

Individual provider Family Medicine Physician · NPI 1689680696

Dr. Michael M Koshak, MD is a General Practice in North Hollywood, California. Qualified in 1976, 50 years ago. Accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
50
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

11631 Victory Blvd 101
North Hollywood, CA 91606-3572
Phone: (818) 764-8838
Fax: (818) 432-2238
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A36588 (CA)

Record details

NPI number1689680696
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 31, 2006
Last updated in NPPESOctober 24, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 1976 (50 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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