Minh Mach, MD Inc.

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

A55349 Issued in CA

Legal business name

MINH MACH, MD INC.

Practice address

10900 Warner Ave
#101B
Fountain Valley, CA 92708-3846

Phone

(714) 210-5667

Fax

(818) 239-0289

NPI assigned

Aug 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Minh Q. Mach, M.D.

Title

Owner

Phone

(714) 210-5667

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1841482767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10900 WARNER AVE",
            "address_2": "#101B",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083846",
            "telephone_number": "714-210-5667",
            "fax_number": "818-239-0289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 WARNER AVE",
            "address_2": "#101B",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083846",
            "telephone_number": "714-210-5667",
            "fax_number": "818-239-0289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINH MACH, MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "MACH",
        "authorized_official_first_name": "MINH",
        "authorized_official_middle_name": "Q.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-210-5667",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "A55349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Johanna Miramontes-Lugo
• Mahmood Mirbagheri, MD
• Denisse Mireles

• Preferred Provider Organization in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Preferred Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.