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Organization
M.G. MIKHAIL, M.D., INC.
Active
Organization
M.G. MIKHAIL, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOKHTAR MIKHAIL M.D. (OWNER)
(818) 708-5285
Entity
Organization
Contact information
Practice address
18321 CLARK ST, TARZANA, CA 91356-3501
(818) 708-5285
Mailing address
11999 SAN VICENTE BLVD, #440, LOS ANGELES, CA 90049-5131
(310) 440-3131
(310) 471-3958
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A33159
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A331591
—
CA
01
—
050001308
RR MEDICARE
CA
Enumeration date
07/06/2006
Last updated
06/19/2008
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