Organization
CLINICA MEDICA SAN MIGUEL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAHFUZ MICHAEL (MEDICAL DIRECTOR)
(818) 266-6432
Entity
Organization
Contact information
Practice address
5417 PACIFIC BLVD, HUNTINGTON PARK, CA 90255-2532
(323) 923-4158
Mailing address
115 E WASHINGTON BLVD, LOS ANGELES, CA 90015-3606
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/25/2012
Last updated
10/25/2012
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