The M Clinic LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

THE M CLINIC LLC

Practice address

55 S Kukui St Ste C108
Honolulu, HI 96813-2328

Phone

(808) 727-1081

Fax

(612) 421-0028

NPI assigned

Feb 12, 2024

Organization subpart

No

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

Authorized official

Name

Mindy L Mandich, DONPI 1730540659

Title

Owner

Phone

(808) 342-6606

Specialties & licenses 1

Addresses

Practitioners 1

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

• Mindy Lin Mandich, D.O.

  • Family Medicine Physician
  • Honolulu, HI
  • NPI 1730540659
  NPD Authorized official

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1760246458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 S KUKUI ST STE C108",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132328",
            "telephone_number": "808-727-1081",
            "fax_number": "612-421-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 S KUKUI ST STE C108",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132328",
            "telephone_number": "808-727-1081",
            "fax_number": "612-421-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE M CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A",
        "authorized_official_last_name": "MANDICH",
        "authorized_official_first_name": "MINDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-342-6606",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Janz Corporation
• The Janz Corporation
• The Lactation Network, LLC
• The Lasik Vision Institute LLC
• The Lavender Clinic
• The Movement Doc LLC
• The Orchid Room Spa, LLC
• The Pacific Institute of Human Restoration LLC
• The Pain Relief Center, Inc
• The Queen'S Medical Center

• Family Medicine Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Family Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.