# SAN MIGUEL URGENT CARE SAN PEDRO

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003517699
- **Authorized official:** MAHFOUZ MICHAEL MD (OWNER)
- **Authorized official phone:** (323) 999-8267

## Contact information

- **Practice address:** 525 W 7TH ST, SAN PEDRO, CA 90731-3115
- **Practice address phone:** (424) 264-5630
- **Mailing address:** PO BOX 291040, LOS ANGELES, CA 90029-9040

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 213E00000X | Podiatrist | — | NULL | — |
| 213E00000X | Podiatrist | — | — | — |
| 261QP1100X | Podiatric Clinic/Center | — | NULL | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/13/2023
- **Last updated:** 03/13/2023