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Organization
MINA N MIKHAIL MD INC
Active
Organization
MINA N MIKHAIL MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MINA N MIKHAIL MD (OWNER)
(951) 750-1090
Entity
Organization
Contact information
Practice address
4500 BROCKTON AVE STE 203, RIVERSIDE, CA 92501-4006
(951) 750-1090
(951) 750-1091
Mailing address
4500 BROCKTON AVE STE 203, RIVERSIDE, CA 92501-4006
(951) 750-1090
(951) 750-1091
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A51300
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A513000
—
CA
Enumeration date
11/20/2006
Last updated
04/11/2023
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