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
7119 RITA AVE, SUITE C, E, F, HUNTINGTON PARK, CA 90255-4781
(323) 582-4980
(323) 582-4914
Mailing address
PO BOX 291040, LOS ANGELES, CA 90029-9040
(818) 994-0804
(818) 994-1288
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207RR0500X
Rheumatology Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
213E00000X
Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR001685B
—
CA
Enumeration date
04/25/2007
Last updated
05/13/2008
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