Clinica Medica San Miguel
LBN: Mahfouz M. Michael,M.D.,Inc.
Clinica Medica San Miguel is an health care organization with primary practice located at 7119 Rita Ave Suite C, E, F, Huntington Park CA 90255-4781. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Rheumatology, Allopathic & Osteopathic Physicians / General Practice, Podiatric Medicine & Surgery Service Providers / Podiatrist. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty.
Mahfouz M. Michael,M.D.,Inc. can be contacted via phone (323) 582-4980, or through Michael, Mahfouz M. via phone (818) 266-6432.
Contact Information
Primary practice address
7119 Rita Ave Suite C, E, F
Huntington Park CA 90255-4781
Phone: (323) 582-4980
Fax: (323) 582-4914
Website:
Authorized official contact:
Name: Michael, Mahfouz M. Doctor of Medicine (MD)
Phone: (818) 266-6432
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | ||
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ||
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X |
Profile Details
| NPI number | 1104045061 |
|---|---|
| LBN Legal business name | Mahfouz M. Michael,M.D.,Inc. |
| DBA Doing business as | Clinica Medica San Miguel |
| Authorized official | Michael, Mahfouz M. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 25th, 2007 |
| Last updated | May 13th, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104045061 | NPPES |
| California | MEDICAID | GR001685B |
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