Individual
MAGED S. MIKHAIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18344 CLARK STREET, SUITE #202, TARZANA, CA 91356-2812
(818) 654-0520
(818) 654-0520
Mailing address
PO BOX 573446, TARZANA, CA 91357-3446
(818) 654-0520
(818) 654-0520
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
G45367
CA
2086S0129X
Vascular Surgery Physician
Primary
G45367
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G453670
—
CA
Enumeration date
07/06/2006
Last updated
06/02/2015
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