Mmi Medical Group, Inc.

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

G78454 Issued in CA

Legal business name

MMI MEDICAL GROUP, INC.

Practice address

8670 Wilshire Blvd
Suite 203
Beverly Hills, CA 90211-2924

Phone

(310) 954-9483

NPI assigned

Jun 16, 2014

Organization subpart

Yes

Parent organization

MMI MEDICAL GROUP, INC.As reported in NPPES

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

Authorized official

Name

Glenn A. Marshak, M.D.

Title

President

Phone

(310) 954-9483

Specialties & licenses 1

Addresses

Tax ID family

Mmi Medical Group Inc2 organizations share this tax ID, including this one

Part of

Mmi Medical Group Inc

Other organizations with this tax ID 1

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

• Mmi Medical Group, Inc

  • Internal Medicine Physician
  • Lancaster, CA
  • NPI 1003252826
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Mmi Medical Group, Inc

  • Internal Medicine Physician
  • Lancaster, CA
  • NPI 1003252826
  NPPES parent name

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1932513298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "SUITE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-943-4180",
            "fax_number": "888-431-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8670 WILSHIRE BLVD",
            "address_2": "SUITE 203",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112924",
            "telephone_number": "310-954-9483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MMI MEDICAL GROUP, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MMI MEDICAL GROUP, INC.",
        "enumeration_date": "2014-06-16",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "MARSHAK",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-954-9483",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "CA",
            "license": "G78454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Tetsuya Miyazaki, D.O.
• Parvaz Farnad Mizrahi, D.D.S.
• Sanam Farokhi Mizrahi, PHARM D
• Lilia Mkhitaryan, APRN, FNP
• Mksdpt Inc (MKS Physical Therapy)
• Evelina Mnatsakanyan, AUD
• Laleh Moazemi, RDH
• Mobile Cardiac Imaging
• Mobin Medical Corporation
• Fardad Mobin, M.D.

• Non-Pharmacy Dispensing Site in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Non-Pharmacy Dispensing Site in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; 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.