# MEZIBUZ MEDICAL

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

## Provider details

- **NPI number:** 1063348068
- **Authorized official:** DAVID GHODS (PRESIDENT)
- **Authorized official phone:** (323) 842-0068

## Contact information

- **Practice address:** 1300 W 155TH ST STE B, GARDENA, CA 90247-4048
- **Practice address phone:** (213) 302-6403
- **Mailing address:** 1300 W 155TH ST STE B, GARDENA, CA 90247-4048

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/18/2026
- **Last updated:** 06/18/2026