M & M Medical Diagnostics

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

M & M MEDICAL DIAGNOSTICS

Practice address

504 S 2ND Ave
Covina, CA 91723-3012

Phone

(626) 232-0401

Fax

(626) 608-0303

NPI assigned

Feb 5, 2013

Organization subpart

No

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

Authorized official

Name

Jose Martinez

Title

President

Phone

(626) 232-0401

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1360022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360022400000",
    "number": "1639418023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 S 2ND AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917233012",
            "telephone_number": "626-232-0401",
            "fax_number": "626-608-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 S 2ND AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917233012",
            "telephone_number": "626-232-0401",
            "fax_number": "626-608-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M & M MEDICAL DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-05",
        "last_updated": "2013-02-05",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-232-0401"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Ly, MS, BCBA
• Lily Ly
• Shy Jeana Lyle
• Jamaiyah Lyles
• Jeanna R Lyter
• Evelyn M. Batres, LCSW #78086
• M.a. Majeed D.D.S., Inc
• Helena Ma
• Maa Tara LLC
• Keilani Rayne Mac Intosh

• Pain Clinic/Center in Covina, CA
• Providers in Covina, CA by specialty
• Pain Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; 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.