NPIMap

Organization Active NPI

MMK Health Care, a Professional Medical Corporation

  • General Practice Physician
  • Los Angeles, CA
National Provider Identifier
1992962344
Registry record updated Jan 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A36588 Issued in CA
Legal business name
MMK HEALTH CARE, A PROFESSIONAL MEDICAL CORPORATION
Practice address
6327 Riggs PL
Los Angeles, CA 90045-1239
Phone
(818) 419-0049
Fax
(310) 337-9459
NPI assigned
May 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2009

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

Authorized official

Name
Dr. Michael M. Koshak, M.D.
Title
President
Phone
(818) 419-0049

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X A36588 CA Primary

Addresses

Primary practice location

6327 Riggs PL
Los Angeles, CA 90045-1239

Mailing address

PO Box 45228
Los Angeles, CA 90045-0221
Phone (818) 419-0049

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230940800000",
    "number": "1992962344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 45228",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900450221",
            "telephone_number": "818-419-0049",
            "fax_number": "310-337-9459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6327 RIGGS PL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900451239",
            "telephone_number": "818-419-0049",
            "fax_number": "310-337-9459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MMK HEALTH CARE, A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2009-01-03",
        "status": "A",
        "authorized_official_last_name": "KOSHAK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-419-0049",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A36588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2009; 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.