# MAHFOUZ M. MICHAEL,M.D., INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841066909
- **Authorized official:** DR. MAHFOUZ MICHAEL MD (CEO)
- **Authorized official phone:** (323) 999-8267

## Contact information

- **Practice address:** 1800 N ORANGE GROVE AVE, POMONA, CA 91767-3006
- **Practice address phone:** (909) 622-9988
- **Practice address fax:** (909) 992-3382
- **Mailing address:** PO BOX 291040, LOS ANGELES, CA 90029-9040

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/30/2023
- **Last updated:** 11/30/2023