Mark H. Hyman M.D, Inc

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

G055008 Issued in CA

Legal business name

MARK H. HYMAN M.D, INC

Practice address

10780 Santa Monica Blvd
Suite 408
Los Angeles, CA 90025

Phone

(310) 234-0400

Fax

(310) 234-9400

NPI assigned

May 27, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Mark Howard Hyman, M.DNPI 1598784365

Title

President

Phone

(310) 234-0400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Howard Hyman, MD

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1598784365
  Medicare reassignment NPD Authorized official
• Sheryl Neuman, M.D.

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1528310208
  NPD (past)

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

{
    "created_epoch": "1306454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306454400000",
    "number": "1174816854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10780 SANTA MONICA BLVD",
            "address_2": "SUITE 408",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900254749",
            "telephone_number": "310-234-0400",
            "fax_number": "310-234-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10780 SANTA MONICA BLVD",
            "address_2": "SUITE 408",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90025",
            "telephone_number": "310-234-0400",
            "fax_number": "310-234-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK H. HYMAN M.D, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-27",
        "last_updated": "2011-05-27",
        "status": "A",
        "authorized_official_last_name": "HYMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-234-0400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "CA",
            "license": "G055008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark a Moses DDS Inc
• Mark B Lieberman DDS Inc
• Mark Costopoulos DPM
• Mark Davidson MD Inc
• Mark Fairfield, LCSW, BCD, a Licensed Clinical Social Work Corporation
• Mark J. Spoonamore M.D., Inc.
• Mark K. Sakakura, DDS., a Professional Corporation
• Mark L Labowe M D a Prof Corp
• Mark Lensky MD Inc
• Mark R. Weiss, D.P.M.

• Exclusive Provider Organization in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Exclusive Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.