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Organization
MMI MEDICAL GROUP, INC
Active
Organization
MMI MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN MARSHAK MD (PRESIDENT)
(310) 553-5203
Entity
Organization
Contact information
Practice address
412 W AVENUE J STE F, LANCASTER, CA 93534-3600
(818) 885-1600
Mailing address
PO BOX 15657, BEVERLY HILLS, CA 90209-1657
(310) 553-5203
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/20/2013
Last updated
05/20/2013
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