NPIMap

Organization Active NPI

Mens Health Foundation 2700

  • General Practice Physician
  • Inglewood, CA
National Provider Identifier
1679247498
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
MENS HEALTH FOUNDATION 2700
Practice address
2700 W Manchester Blvd
Inglewood, CA 90305-2436
Phone
(323) 905-5675
NPI assigned
Aug 4, 2021
Organization subpart
Yes
Parent organization
MEN'S HEALTH FOUNDATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Authorized official

Name
Anthony Martin Mills
Title
Ceo
Phone
(310) 550-1010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

2700 W Manchester Blvd
Inglewood, CA 90305-2436

Mailing address

2700 W Manchester Blvd
Inglewood, CA 90305-2436
Phone (323) 905-5675

National Provider Directory

National Provider Directory
Tax ID family
Mens Health Foundation3 organizations share this tax ID, including this one
Part of
Mens Health Foundation

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628121600000",
    "number": "1679247498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 W MANCHESTER BLVD",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903052436",
            "telephone_number": "323-905-5675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 W MANCHESTER BLVD",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903052436",
            "telephone_number": "323-905-5675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENS HEALTH FOUNDATION 2700",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEN'S HEALTH FOUNDATION",
        "enumeration_date": "2021-08-04",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-550-1010"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.