NPI 1174816854

Mark H. Hyman M.D, INC

Organisation Exclusive Provider Organization Los Angeles, CA

Practice location

Address: 10780 Santa Monica Blvd Suite 408, Los Angeles, CA 90025
Phone: (310) 234-0400
Fax: (310) 234-9400
Mailing address: 10780 Santa Monica Blvd Suite 408, Los Angeles, CA 90025-4749

Authorised official

Name: Mark Howard Hyman
Title: President
Phone: (310) 234-0400

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence G055008 (CA)

Other Exclusive Provider Organization providers in California →

Registry record

NPI: 1174816854
Entity type: Organization
NPI issued: 27 May 2011
Record last updated: 27 May 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.