Organization
MARK H. HYMAN M.D, INC
Active
Organization
MARK H. HYMAN M.D, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK HOWARD HYMAN M.D (PRESIDENT)
(310) 234-0400
Entity
Organization
Contact information
Practice address
10780 SANTA MONICA BLVD, SUITE 408, LOS ANGELES, CA 90025
(310) 234-0400
(310) 234-9400
Mailing address
10780 SANTA MONICA BLVD, SUITE 408, LOS ANGELES, CA 90025-4749
(310) 234-0400
(310) 234-9400
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
G055008
CA
Other
Enumeration date
05/27/2011
Last updated
05/27/2011
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