Michael, Mahfouz M
Michael, Mahfouz M is an individual health care provider with primary practice located at 5417 Pacific Blvd , Huntington Park CA 90255-2532. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Michael, Mahfouz M can be contacted via phone (323) 923-4160.Contact Information
Primary practice address
5417 Pacific Blvd
Huntington Park CA 90255-2532
Phone: (323) 923-4160
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A34248 | California |
Profile Details
| NPI number | 1447369103 |
|---|---|
| LBN Legal business name | Michael, Mahfouz M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2006 |
| Last updated | Nov 9th, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447369103 | NPPES |
| California | MEDICAID | 00A34248 |
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