Organization
TARZANA SURGICAL SPECIALISTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOKHTAR G MIKHAIL MD (PRESIDENT)
(818) 654-0590
Entity
Organization
Contact information
Practice address
18425 BURBANK BLVD, SUITE 105, TARZANA, CA 91356-2806
(818) 654-0595
Mailing address
18425 BURBANK BLVD, SUITE 105, TARZANA, CA 91356-2806
(818) 654-0595
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
06/03/2009
Last updated
06/08/2009
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