Healthcare Provider Details

I. General information

NPI: 1063617074
Provider Name (Legal Business Name): MRH MEDICAL GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2007
Last Update Date: 08/27/2024
Certification Date: 08/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8484 WILSHIRE BLVD SUITE 200
BEVERLY HILLS CA
90211-3227
US

IV. Provider business mailing address

8484 WILSHIRE BLVD STE 200
BEVERLY HILLS CA
90211-3235
US

V. Phone/Fax

Practice location:
  • Phone: 310-659-4384
  • Fax: 310-659-9342
Mailing address:
  • Phone: 310-360-7690
  • Fax: 310-360-7694

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RA0401X
TaxonomyAddiction Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MARK R HONZEL
Title or Position: PHYSICIAN/OWNER
Credential: M.D.
Phone: 310-360-7690