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 1101 N Vermont Ave , Los Angeles CA 90029-1701. The organization recently has 9 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Rheumatology, Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / General Practice, Podiatric Medicine & Surgery Service Providers / Podiatrist, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Mahfouz M. Michael,M.D.,Inc can be contacted via phone (323) 665-4230, or through Michael, Mahfouz M. via phone (818) 266-6432.

Contact Information

Primary practice address
1101 N Vermont Ave Los Angeles CA 90029-1701
Fax: (323) 665-8718
Website:
Authorized official contact:
Name: Michael, Mahfouz M. Doctor of Medicine (MD)

Profile Details

NPI number 1609095603
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 Feb 15th, 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 1609095603 NPPES
California MEDICAID GR0016853

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