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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
DR. MAHFOUZ M. MICHAEL M.D. (M.D./OWNER)
(818) 994-0804
Entity
Organization
Contact information
Practice address
5417 PACIFIC BLVD, HUNTINGTON PARK, CA 90255-2532
(323) 581-0101
(323) 589-6552
Mailing address
P.O BOX 291040, LOS ANGELES, CA 90029-9040
(818) 994-0804
(818) 994-1288
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/10/2008
Last updated
01/05/2009
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