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Organization
SAN MIGUEL URGENT CARE HUNTINGTON PARK
Active
Organization
SAN MIGUEL URGENT CARE HUNTINGTON PARK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAHFOUZ MICHAEL MD (OWNER)
(323) 999-8267
Entity
Organization
Contact information
Practice address
5421 PACIFIC BLVD, HUNTINGTON PARK, CA 90255-2532
(323) 581-0101
Mailing address
PO BOX 291040, LOS ANGELES, CA 90029-9040
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
213E00000X
Podiatrist
—
NULL
213E00000X
Podiatrist
—
—
261QP1100X
Podiatric Clinic/Center
—
NULL
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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