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MAHFOUZ M. MICHAELM.D.INC. NPI 1558581736


NPI Information

NPI: 1558581736
Provider Name: MAHFOUZ M. MICHAEL,M.D.,INC.

Doing Business As: CLINICA MEDICA SAN MIGUEL

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
931 BUENA VISTA ST STE 102
DUARTE, CA
ZIP 91010
Phone: (626) 303-2525
Get Directions

MAHFOUZ M. MICHAEL,M.D.,INC. is an obstetrics gynecology in Duarte, CA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. MAHFOUZ M. MICHAEL,M.D.,INC. NPI is 1558581736. 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:

931 BUENA VISTA ST STE 102
DUARTE, CA
ZIP 91010-780
Phone: (626) 303-2525
Fax: (626) 303-7664

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 4/27/2007 and was last updated on 1/15/2008.


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
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineNo
3208D00000XGeneral PracticeNo
4207V00000XObstetrics & GynecologyYes

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
1GR0016858MEDICAIDCALIFORNIA

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: 11/14/2023

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