Organization
MICHAEL J. HYMAN, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J HYMAN MD (OWNER)
(818) 906-1300
Entity
Organization
Contact information
Practice address
16311 VENTURA BLVD STE 800, ENCINO, CA 91436-2140
(818) 906-0635
(818) 906-7303
Mailing address
16311 VENTURA BLVD STE 800, ENCINO, CA 91436-2140
(818) 906-0635
(818) 906-7303
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A79203
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A79203
CALIFORNIA STATE LICENSE
CA
Enumeration date
12/07/2017
Last updated
05/30/2024
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