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Organization
MAHFOUZ M. MICHAEL,M.D., INC.
Active
Organization
MAHFOUZ M. MICHAEL,M.D., INC.
Active
Other names
Clinica Medica San Miguel
Organization subpart
No
Provider details
NPI number
Authorized official
MAHFOUZ M MICHAEL M.D. (MEDICAL DIRECTOR)
(818) 266-6432
Entity
Organization
Contact information
Practice address
7542 LAUREL CANYON BLVD, 7540 LAUREL CANYON BLVD., NORTH HOLLYWOOD, CA 91605-3148
(818) 765-0503
(818) 765-5908
Mailing address
PO BOX 291040, LOS ANGELES, CA 90029-9040
(818) 994-0804
(818) 994-1288
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
208D00000X
General Practice Physician
—
—
363A00000X
Physician Assistant
—
—
363LW0102X
Women's Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0016856
—
CA
Enumeration date
04/25/2007
Last updated
05/05/2008
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