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 7542 Laurel Canyon Blvd 7540 Laurel Canyon Blvd., North Hollywood CA 91605-3148. The organization recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Mahfouz M. Michael,M.D., Inc. can be contacted via phone (818) 765-0503, or through Michael, Mahfouz M via phone (818) 266-6432.

Contact Information

Primary practice address
7542 Laurel Canyon Blvd 7540 Laurel Canyon Blvd. North Hollywood CA 91605-3148
Phone: (818) 765-0503
Fax: (818) 765-5908
Website:
Map and Directions
Authorized official contact:
Name: Michael, Mahfouz M Doctor of Medicine (MD)
Phone: (818) 266-6432

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / General Practice 208D00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X

Profile Details

NPI number 1508085515
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 5th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508085515 NPPES
California MEDICAID GR0016856

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