Mdiom Inc

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

A062368 Issued in CA

Legal business name

MDIOM INC

Practice address

28212 Kelly Johnson Pkwy
Suite#215
Valencia, CA 91355-5084

Phone

(310) 314-8250

NPI assigned

Feb 14, 2011

Last updated

Apr 5, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mark Liker, M.D.

Title

Ceo

Phone

(310) 738-8250

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1297641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301961600000",
    "number": "1073810800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28212 KELLY JOHNSON PKWY",
            "address_2": "SUITE#215",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913555084",
            "telephone_number": "310-314-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28212 KELLY JOHNSON PKWY",
            "address_2": "SUITE#215",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913555084",
            "telephone_number": "310-314-8250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDIOM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-14",
        "last_updated": "2011-04-05",
        "status": "A",
        "authorized_official_last_name": "LIKER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-738-8250",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "A062368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Acute Care Hospital in Valencia, CA
• Providers in Valencia, CA by specialty
• General Acute Care Hospital in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.