Mosaic Medical Management, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MOSAIC MEDICAL MANAGEMENT, INC.

Practice address

1600 Rosecrans Ave
Building 7, 4TH Floor
Manhattan Beach, CA 90266-3708

Phone

(310) 321-7818

NPI assigned

Dec 9, 2011

Last updated

Dec 9, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Liza Vismanos

Title

President

Phone

(310) 321-7818

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1323388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323388800000",
    "number": "1871861476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 ROSECRANS AVE",
            "address_2": "BUILDING 7, 4TH FLOOR",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902663708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 ROSECRANS AVE",
            "address_2": "BUILDING 7, 4TH FLOOR",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902663708",
            "telephone_number": "310-321-7818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC MEDICAL MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-09",
        "last_updated": "2011-12-09",
        "status": "A",
        "authorized_official_last_name": "VISMANOS",
        "authorized_official_first_name": "LIZA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-321-7818",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Manhattan Beach, CA
• Providers in Manhattan Beach, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; 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.