Individual
DR. MEDHAT FOUAD MIKHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3620 ATLANTIC AVE, LONG BEACH, CA 90807-3418
(562) 595-0060
(562) 595-0027
Mailing address
16787 BEACH BLVD # 276, HUNTINGTON BEACH, CA 92647-4848
(714) 340-7240
(562) 595-0027
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
A55997
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005599700
MEDICAL
CA
05
—
00A559970
—
CA
Enumeration date
06/24/2006
Last updated
05/20/2022
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