Mmi Medical Group, Inc.

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

Legal business name

MMI MEDICAL GROUP, INC.

Practice address

2080 Century Park E Ste 710
Los Angeles, CA 90067-2010

Phone

(310) 715-3237

Fax

(310) 861-8159

NPI assigned

Jun 13, 2014

Organization subpart

Yes

Parent organization

MMI MEDICAL GROUP, INC.As reported in NPPES

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

Authorized official

Name

Mariette N Aroutiounian

Title

VP, Operations

Phone

(323) 236-4709

Specialties & licenses 2

Addresses

Part of

Mmi Medical Group Inc

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Mmi Medical Group, Inc

  • Internal Medicine Physician
  • Lancaster, CA
  • NPI 1003252826
  NPPES parent name

Practitioners 2

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

• Glenn A Marshak, M.D.

  • Internal Medicine Physician
  • Beverly Hills, CA
  • NPI 1104890029
  NPD
• Adriana Ponce, FNP

  • Family Nurse Practitioner
  • Whittier, CA
  • NPI 1295445369
  NPD

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1396159778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8447 WILSHIRE BLVD STE 202",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113207",
            "fax_number": "310-861-8159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E STE 710",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672010",
            "telephone_number": "310-715-3237",
            "fax_number": "310-861-8159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14850 Roscoe Blvd",
            "address_2": "North Tower",
            "address_purpose": "LOCATION",
            "city": "Panorama City",
            "state": "CA",
            "postal_code": "914024618",
            "country_code": "US",
            "telephone_number": "310-954-9483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2080 Century Park E Ste 710",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900672010",
            "country_code": "US",
            "telephone_number": "310-481-9944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MMI MEDICAL GROUP, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MMI MEDICAL GROUP, INC.",
        "enumeration_date": "2014-06-13",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A",
        "authorized_official_last_name": "AROUTIOUNIAN",
        "authorized_official_first_name": "MARIETTE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "VP, OPERATIONS",
        "authorized_official_telephone_number": "323-236-4709"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "CA",
            "license": "G78454",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jerome Mo, PHARMD.
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• All providers in Los Angeles, CA
• Infusion Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; 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.