Organization
MAX M GHANNADI MD MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAX M GHANNADI M.D. (PRESIDENT)
(818) 999-9096
Entity
Organization
Contact information
Practice address
14103 VICTORY BLVD, SUITE 7, VAN NUYS, CA 91401
(818) 994-0000
(818) 988-2949
Mailing address
23679 CALABASAS RD, # 327, CALABASAS, CA 91302-1502
(818) 887-5515
(818) 225-9230
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A102618
CA
Other
Enumeration date
04/24/2009
Last updated
10/04/2010
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