| Endocrine Specialty Consultants Inc | |
|
4418 Vineland Ave Ste 102 Toluca Lake CA 91602-3457 | |
| (818) 239-0299 | |
| (818) 514-2374 |
| Full Name | Endocrine Specialty Consultants Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4418 Vineland Ave Ste 102, Toluca Lake, California |
| Authorized Official Name and Position | Minh Mach (PRESIDENT) |
| Authorized Official Contact | 8182390299 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Endocrine Specialty Consultants Inc 4418 Vineland Ave Ste 102 North Hollywood CA 91602-3457 Ph: (818) 239-0299 | Endocrine Specialty Consultants Inc 4418 Vineland Ave Ste 102 Toluca Lake CA 91602-3457 Ph: (818) 239-0299 |
| NPI Number | 1689156275 |
|---|---|
| Provider Enumeration Date | 08/30/2018 |
| Last Update Date | 09/28/2023 |
| Certification Date | 09/28/2023 |
| Medicare PECOS PAC ID | 8729413380 |
|---|---|
| Medicare Enrollment ID | O20200109000624 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689156275 | NPI | - | NPPES |
| 1831298736 | Other | CA | ENDOCRINE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | A55349 (California) | Primary |
| Provider Name | Minh Q Mach |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1831298736 PECOS PAC ID: 4688603020 Enrollment ID: I20130903000173 |
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