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MAHFOUZ M. MICHAELM.D. INC. NPI 1508085515


NPI Information

NPI: 1508085515
Provider Name: MAHFOUZ M. MICHAEL,M.D., INC.

Doing Business As: CLINICA MEDICA SAN MIGUEL

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
7542 LAUREL CANYON BLVD
7540 LAUREL CANYON BLVD.
NORTH HOLLYWOOD, CA
ZIP 91605
Phone: (818) 765-0503
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MAHFOUZ M. MICHAEL,M.D., INC. is a family medicine in North Hollywood, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MAHFOUZ M. MICHAEL,M.D., INC. NPI is 1508085515. 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:

7542 LAUREL CANYON BLVD
7540 LAUREL CANYON BLVD.
NORTH HOLLYWOOD, CA
ZIP 91605-148
Phone: (818) 765-0503
Fax: (818) 765-5908

The provider's authorized official is Mahfouz M Michael .
The authorized official title is Medical Director and has the following contact phone number (818) 266-6432.

The enumeration date for this NPI number is 4/25/2007 and was last updated on 5/5/2008.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LW0102XNurse PractitionerWomen's HealthNo
2363A00000XPhysician AssistantNo
3207V00000XObstetrics & GynecologyNo
4208000000XPediatricsNo
5208D00000XGeneral PracticeNo
6207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GR0016856MEDICAIDCALIFORNIA
2W7196HMEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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