# MDIOM INC

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

## Provider details

- **NPI number:** 1073810800
- **Authorized official:** MARK LIKER M.D. (CEO)
- **Authorized official phone:** (310) 738-8250

## Contact information

- **Practice address:** 28212 KELLY JOHNSON PKWY, SUITE\#215, VALENCIA, CA 91355-5084
- **Practice address phone:** (310) 314-8250
- **Mailing address:** 28212 KELLY JOHNSON PKWY, SUITE\#215, VALENCIA, CA 91355-5084
- **Mailing address phone:** (310) 314-8250

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | A062368 | CA | Yes |

## Other

- **Enumeration date:** 02/14/2011
- **Last updated:** 04/05/2011