MAHFOUZ M. MICHAELM.D.INC. NPI 1609095660

NPI Information

  • NPI: 1609095660
  • Provider Name: MAHFOUZ M. MICHAEL,M.D.,INC.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: CLINICA MEDICA SAN MIGUEL
  • CLIA Number: 05D0920193
  • Address: 825 N PARK AVE
    POMONA, CA
    ZIP 91768
  • Phone: (909) 622-9988

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NPI Details

MAHFOUZ M. MICHAEL,M.D.,INC. is a family medicine in Pomona, 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 1609095660. 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:

825 N PARK AVE
POMONA, CA
ZIP 91768-002
Phone: (909) 622-9988
Fax: (909) 622-0882

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 CLIA number assigned to this NPI record is 05D0920193 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/25/2007 and was last updated on 9/11/2007.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineNo
2207RC0000XInternal MedicineCardiovascular DiseaseNo
3207RS0012XInternal MedicineSleep MedicineNo
4207V00000XObstetrics & GynecologyNo
5208000000XPediatricsNo
6208D00000XGeneral PracticeNo
7207Q00000XFamily 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17032113OTHERCALIFORNIAMEDICAID UPIN
2W7196EMEDICARE PINCALIFORNIA
3GR0016851MEDICAIDCALIFORNIA

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: 11/21/2025

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