Organization
MMI MEDICAL GROUP, INC.
Active
Parent organization
MMI MEDICAL GROUP, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MMI MEDICAL GROUP, INC.
Authorized official
GLENN A. MARSHAK M.D. (PRESIDENT)
(310) 954-9483
Entity
Organization
Contact information
Practice address
8670 WILSHIRE BLVD, SUITE 203, BEVERLY HILLS, CA 90211-2924
(310) 954-9483
Mailing address
2980 N BEVERLY GLEN CIR, SUITE 100, LOS ANGELES, CA 90077-1726
(310) 943-4180
(888) 431-8819
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
G78454
CA
Other
Enumeration date
06/16/2014
Last updated
10/05/2015
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