Organization
MMK HEALTH CARE, A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL M. KOSHAK M.D. (PRESIDENT)
(818) 419-0049
Entity
Organization
Contact information
Practice address
6327 RIGGS PL, LOS ANGELES, CA 90045-1239
(818) 419-0049
(310) 337-9459
Mailing address
PO BOX 45228, LOS ANGELES, CA 90045-0221
(818) 419-0049
(310) 337-9459
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A36588
CA
Other
Enumeration date
05/21/2008
Last updated
01/03/2009
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