Provider Demographics
NPI:1053730424
Name:HM MEDICAL LLC
Entity type:Organization
Organization Name:HM MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CANDACE
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-646-2800
Mailing Address - Street 1:500 SUPERIOR AVE STE 330
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92663-3658
Mailing Address - Country:US
Mailing Address - Phone:949-646-2800
Mailing Address - Fax:949-646-8147
Practice Address - Street 1:500 SUPERIOR AVE STE 330
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92663-3658
Practice Address - Country:US
Practice Address - Phone:949-646-2800
Practice Address - Fax:949-646-8147
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-14
Last Update Date:2015-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA86545207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty