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Organization
MAGED S MIKHAIL A PROFESSIONAL CORPORATION
Active
Organization
MAGED S MIKHAIL A PROFESSIONAL CORPORATION
Active
Other names
LOS ANGELES VARICOSE VEIN CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAGED S. MIKHAIL M.D. (PRESIDENT)
(818) 654-0520
Entity
Organization
Contact information
Practice address
18425 BURBANK BLVD., SUITE #102, TARZANA, CA 91356-2806
(818) 654-0520
(818) 654-0596
Mailing address
18425 BURBANK BLVD, SUITE #102, TARZANA, CA 91356-2806
(818) 654-0520
(818) 654-0596
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G45367
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G453670
—
CA
Enumeration date
01/16/2007
Last updated
05/11/2009
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