MEDICARE: MINH Q MACH M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	A55349	CA

General Provider Information

NPI Number	:	1831298736
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MINH Q MACH M.D.

Provider Business Mailing Address
First Line	:	4418 VINELAND AVE STE 102
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91602-3457
Country	:	US
Telephone Number	:	818-239-0299
Fax Number	:	818-514-2374

Provider Business Practice Location Address
First Line	:	4418 VINELAND AVE STE 102
Second Line	:
City	:	TOLUCA LAKE
State	:	CA
Zip	:	91602-3457
Country	:	US
Telephone Number	:	818-239-0288
Fax Number	:	818-514-2374

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/21/2006
Last Update Date	:	09/28/2023

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Directions to “ MINH Q MACH M.D.” Practice Location

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