# H MICHAEL MYNATT M D INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013196195
- **Authorized official:** LIANE R DEYOUNG (ADMINISTRATOR)
- **Authorized official phone:** (323) 660-7575

## Contact information

- **Practice address:** 1300 N VERMONT AVE STE 100, LOS ANGELES, CA 90027-6061
- **Practice address phone:** (323) 913-4300
- **Practice address fax:** (323) 913-4301
- **Mailing address:** 157 S WINDSOR BLVD, LOS ANGELES, CA 90004-3817
- **Mailing address phone:** (323) 660-7575
- **Mailing address fax:** (323) 931-1188

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | G28022 | CA | Yes |

## Other

- **Enumeration date:** 10/25/2007
- **Last updated:** 06/23/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1326100207 | INDIVIDUAL NPI | CA |
| 05 | — | 1326100207 | — | CA |