Endocrine Specialty Consultant Inc

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

A55349 Issued in CA

Legal business name

ENDOCRINE SPECIALTY CONSULTANT INC

Doing business as

ENDOCRINE SPECIALTY CONSULTANTS INC

Practice address

4418 Vineland Ave Ste 102
Toluca Lake, CA 91602-3457

Phone

(818) 239-0299

Fax

(818) 514-2374

NPI assigned

Aug 30, 2018

Organization subpart

No

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

Authorized official

Name

Minh Mach, MDNPI 1831298736

Title

President

Phone

(818) 239-0299

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ENDOCRINE SPECIALTY CONSULTANTS INC Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Minh Q Mach, M.D.

  • Specialist
  • Toluca Lake, CA
  • NPI 1831298736
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1689156275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4418 VINELAND AVE STE 102",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916023457",
            "telephone_number": "818-239-0299",
            "fax_number": "818-514-2374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4418 VINELAND AVE STE 102",
            "city": "TOLUCA LAKE",
            "state": "CA",
            "postal_code": "916023457",
            "telephone_number": "818-239-0299",
            "fax_number": "818-514-2374"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9091 Edinger Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CA",
            "postal_code": "926837485",
            "country_code": "US",
            "telephone_number": "818-239-0299",
            "fax_number": "818-514-2374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ENDOCRINE SPECIALTY CONSULTANT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-30",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A",
        "authorized_official_last_name": "MACH",
        "authorized_official_first_name": "MINH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-239-0299",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A55349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ENDOCRINE",
            "identifier": "1831298736",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ENDOCRINE SPECIALTY CONSULTANTS INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Endocrinology, Diabetes & Metabolism Physician in Toluca Lake, CA
• Providers in Toluca Lake, CA by specialty
• Endocrinology, Diabetes & Metabolism Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.