Organization
SAN MIGUEL URGENT CARE SAN PEDRO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAHFOUZ MICHAEL MD (OWNER)
(323) 999-8267
Entity
Organization
Contact information
Practice address
525 W 7TH ST, SAN PEDRO, CA 90731-3115
(424) 264-5630
Mailing address
PO BOX 291040, LOS ANGELES, CA 90029-9040
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
213E00000X
Podiatrist
—
—
261QP1100X
Podiatric Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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