MAHFOUZ M. MICHAEL,M.D.,INC. (NPI# 1104045061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104045061 |
| Entity Type | Organization |
| Organization Name | MAHFOUZ M. MICHAEL,M.D.,INC. |
| Other Organization Name | CLINICA MEDICA SAN MIGUEL |
| Practice Address |
7119 Rita Ave Suite C, E, F Huntington Park CA 90255-4781 |
| Mailing Address |
Po Box 291040 Los Angeles CA 90029-9040 |
| Practice Telephone | 3235824980 |
| Practice Fax Number | 3235824914 |
| Mailing Telephone | 8189940804 |
| Mailing Fax Number | 8189941288 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2008-05-13 |
| Authorized Official Name | MAHFOUZ M. MICHAEL (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8182666432 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians | ||
| N | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR001685B | 05 |
| Other Name | Type Code |
|---|---|
| Clinica Medica San Miguel | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659591832 | Mahfouz M. Michael,m.d.,inc. | Obstetrics & Gynecology | 954 N Vermont Ave, Los Angeles, CA 90029-3529 | 2007-04-27 |
| 1558581736 | Mahfouz M. Michael,m.d.,inc. | Family Medicine | 931 Buena Vista St Ste 102, Duarte, CA 91010-1780 | 2007-04-27 |
| 1134348261 | Mahfouz M. Michael,m.d.,inc. | Pediatrics | 7128 Pacific Blvd, Suite A, Huntington Park, CA 90255-4776 | 2007-04-25 |
| 1609095587 | Mahfouz M. Michael,m.d.,inc. | Family Medicine | 1500 Glenoaks Blvd, San Fernando, CA 91340-1780 | 2007-04-25 |
| 1104045210 | Mahfouz M. Michael,m.d.,inc. | Internal Medicine | 1437 S Atlantic Blvd, Los Angeles, CA 90022-5015 | 2007-04-25 |
| 1093934986 | Mahfouz M. Michael,m.d.,inc. | Family Medicine | 122 E Washington Blvd, Los Angeles, CA 90015-3601 | 2007-04-25 |
| 1609095660 | Mahfouz M. Michael,m.d.,inc. | Internal Medicine | 825 N Park Ave, Pomona, CA 91768-3002 | 2007-04-25 |
| 1881627057 | Mahfouz M. Michael,m.d.,inc. | Nurse Practitioner | 8781 Van Nuys Blvd, Panorama City, CA 91402-2406 | 2006-07-09 |
| Street Address |
7119 RITA AVE SUITE C, E, F |
| City | HUNTINGTON PARK |
| State | CA |
| Zip Code | 90255-4781 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538250519 | The Medicine Cabinet, Inc | Pharmacy | 7119 Rita Ave, Suite B, Huntington Park, CA 90255-4781 | 2006-09-27 |
| 1699399964 | Universal Medical Group & Weight Control Center, Inc | Family Medicine | 7119 Rita Ave, Huntington Park, CA 90255-4781 | 2020-06-03 |
| 1306295944 | Samy Habib | Pharmacist | 7119 Rita Ave, Huntington Park, CA 90255-4781 | 2016-06-04 |
| 1922164961 | Adel Naguib Abdelsayed | General Practice | 7119 Rita Ave, Huntington Park, CA 90255-4781 | 2006-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922659424 | Maria Hurtado | Behavior Technician | California St & Pacific Blvd, Walnut Park, CA 90255 | 2019-09-25 |
| 1356803555 | Cdf Centro De Desarrollo Familiar | Social Worker | 2677 Zoe Ave Suite 120, Huntington Park, CA 90255 | 2019-04-05 |
| 1710457908 | Toure Marshawn Curry | Rehabilitation Practitioner | 2677 Zoe Ave #304, Huntington Park, CA 90255 | 2018-11-29 |
| 1508366584 | Kalie Marie Baker | Optometrist | 2614 Gage Ave, Huntington Park, CA 90255 | 2018-02-16 |
| 1134633027 | Alicia Rizkalla | Case Manager/Care Coordinator | Altamed Pace, 1900 Slauson Street, Huntington Park, CA 90255 | 2017-11-30 |
| 1205353760 | All Care One Community Health Center | Chiropractor | 7300 Santa Fe Avenue, Huntington Park, CA 90255 | 2017-08-25 |
| 1447613559 | Peter Vue | Respiratory Therapist, Certified | 6208 Seville Ave., Huntington Park, CA 90255 | 2016-04-05 |
| 1558720029 | Dr. Edmond Janfaza Dds, Inc. | Dentist | 2675 E. Slauson Ave, #300, Huntington Park, CA 90255 | 2016-02-12 |
| 1649650979 | Samuel Zaki Dds Inc | Dentist | 7221 Pacific Blvd, Huntington Park, CA 90255 | 2015-06-02 |
| 1376945808 | Karla Zuniga | Case Manager/Care Coordinator | 3638 E 61st Street, Huntington Park, CA 90255 | 2014-09-16 |
| Find all providers in zip 90255 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477069375 | Gage Medical Clinic Inc | General Practice | 3203 E. Florence Ave., Huntington Park, CA 90255-3008 | 2017-12-15 |
| 1093128688 | Peyman Banooni Medical Group Inc. | General Practice | 6120 Seville Ave, Unit B, Huntington Park, CA 90255-2911 | 2014-06-11 |
| 1245655240 | La Libertad Medical Clinic Inc | General Practice | 7900 Pacific Blvd, Huntington Park, CA 90255-6662 | 2014-02-27 |
| 1629251541 | South Atlantic Medical Group | General Practice | 2616 Clarendon Ave, Huntington Park, CA 90255-4120 | 2007-12-13 |
| 1316135742 | Maria Christina Hernandez | General Practice | 3355 E Gage Ave, Huntington Park, CA 90255-5530 | 2007-10-10 |
| 1780808188 | Pedro H Ferrer | General Practice | 7511 State St, 7511 State St, Huntington Park, CA 90255-6132 | 2007-04-13 |
| 1073641098 | Jang Kil Yi | General Practice | 5914 Pacific Bl, Huntington Park, CA 90255-2929 | 2007-03-01 |
| 1619020724 | Iradj H Nazarian Md Inc | General Practice | 7136 Pacific Blvd, Ste 225, Huntington Park, CA 90255-4783 | 2007-01-19 |
| 1689741241 | Haydee G Castaneda | General Practice | 2955 E Florence Ave, Huntington Park, CA 90255-5836 | 2006-11-29 |
| 1376612424 | Charles Sassoon | General Practice | 7723 Pacific Blvd, Huntington Park, CA 90255-6301 | 2006-11-06 |
| Find all providers in HUNTINGTON PARK | ||||
| City | HUNTINGTON PARK |
| Zip Code | 90255 |
Please comment or provide details below to improve the information on MAHFOUZ M. MICHAEL,M.D.,INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.