MAX M GHANNADI MD MEDICAL CORP NPI 1003050873

NPI Information

MAX M GHANNADI MD MEDICAL CORP is a general practice in Van Nuys, CA. MAX M GHANNADI MD MEDICAL CORP NPI is 1003050873. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14103 VICTORY BLVD
SUITE 7
VAN NUYS, CA
ZIP 91401
Phone: (818) 994-0000
Fax: (818) 988-2949

The provider's authorized official is Max M Ghannadi .
The authorized official title is President and has the following contact phone number (818) 999-9096.

The enumeration date for this NPI number is 4/24/2009 and was last updated on 10/4/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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