M & C Physician Solutions PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A114766 Issued in CA

Legal business name

M & C PHYSICIAN SOLUTIONS PC

Practice address

640 N Keystone St
Suite B
Burbank, CA 91506-1900

Phone

(714) 598-7578

Fax

(714) 740-5876

NPI assigned

Oct 22, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Sanjeev Kumar Mall, MD

Title

President

Phone

(714) 598-7578

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1382400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441152000000",
    "number": "1346678794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 N KEYSTONE ST",
            "address_2": "SUITE B",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915061900",
            "telephone_number": "714-598-7578",
            "fax_number": "714-740-5876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 N KEYSTONE ST",
            "address_2": "SUITE B",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915061900",
            "telephone_number": "714-598-7578",
            "fax_number": "714-740-5876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M & C PHYSICIAN SOLUTIONS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-22",
        "last_updated": "2015-09-02",
        "status": "A",
        "authorized_official_last_name": "MALL",
        "authorized_official_first_name": "SANJEEV",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-598-7578",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A114766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Burbank, CA
• Providers in Burbank, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; 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.