MAHFOUZ M. MICHAELM.D.INC. NPI 1104045210

NPI Information

MAHFOUZ M. MICHAEL,M.D.,INC. is a general practice in Los Angeles, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee MAHFOUZ M. MICHAEL,M.D.,INC. NPI is 1104045210. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Clinica Medica San Miguel.

The provider's business location address is:

1437 S ATLANTIC BLVD
LOS ANGELES, CA
ZIP 90022-015
Phone: (323) 268-9900
Fax: (323) 268-4993

The provider's authorized official is Mahfouz M. Michael .
The authorized official title is Medical Director and has the following contact phone number (818) 994-0804.

The enumeration date for this NPI number is 4/25/2007 and was last updated on 8/22/2007.

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:

Other Identifiers

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