Organization
KYRILLOS MEDICAL GROUP,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL FAROUK HABASHY M.D. (CEO)
(818) 391-9193
Entity
Organization
Contact information
Practice address
1510 S CENTRAL AVE, SUITE 250, GLENDALE, CA 91204-2500
(818) 502-0325
(818) 242-5079
Mailing address
1510 S CENTRAL AVE, SUITE 250, GLENDALE, CA 91204-2500
(818) 502-0325
(818) 242-5079
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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