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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
1101 N VERMONT AVE, LOS ANGELES, CA 90029-1701
(323) 665-4230
(323) 665-8718
Mailing address
PO BOX 291040, LOS ANGELES, CA 90029-9040
(818) 994-0804
(818) 994-1288
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RR0500X
Rheumatology Physician
—
—
208800000X
Urology Physician
—
—
208D00000X
General Practice Physician
—
—
213E00000X
Podiatrist
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0016853
—
CA
Enumeration date
04/25/2007
Last updated
02/15/2008
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