Individual
AIDA MAHFOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4418 VINELAND AVE # 102, TOLUCA LAKE, CA 91602-3457
(818) 842-7145
Mailing address
PO BOX 10604, BURBANK, CA 91510-0604
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
58920
CA
Other
Enumeration date
10/23/2019
Last updated
09/13/2023
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