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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