Healthcare Provider Details

I. General information

NPI: 1376672576
Provider Name (Legal Business Name): M & H MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2007
Last Update Date: 02/08/2024
Certification Date: 02/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5454 WISCONSIN AVE # 1455
CHEVY CHASE MD
20815-6901
US

IV. Provider business mailing address

PO BOX 261070
ENCINO CA
91426-1070
US

V. Phone/Fax

Practice location:
  • Phone: 310-903-1980
  • Fax:
Mailing address:
  • Phone: 310-903-1980
  • Fax: 818-880-9570

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MARK HESTRIN
Title or Position: PRESIDENT/OWNER
Credential: MD
Phone: 310-903-1980