MAHFOUZ M. MICHAEL,M.D.,INC. (NPI# 1104045210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104045210 |
| Entity Type | Organization |
| Organization Name | MAHFOUZ M. MICHAEL,M.D.,INC. |
| Other Organization Name | CLINICA MEDICA SAN MIGUEL |
| Practice Address |
1437 S Atlantic Blvd Los Angeles CA 90022-5015 |
| Mailing Address |
Po Box 291040 Los Angeles CA 90029-9040 |
| Practice Telephone | 3232689900 |
| Practice Fax Number | 3232684993 |
| Mailing Telephone | 8189940804 |
| Mailing Fax Number | 8189941288 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2007-08-22 |
| Authorized Official Name | DR. MAHFOUZ M. MICHAEL (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8189940804 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0029510 | 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 |
| 1104045061 | Mahfouz M. Michael,m.d.,inc. | Family Medicine | 7119 Rita Ave, Suite C, E, F, Huntington Park, CA 90255-4781 | 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 |
1437 S ATLANTIC BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90022-5015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881746196 | Roberto Carlos Guillen | Physician Assistant | 1437 S Atlantic Blvd, Los Angeles, CA 90022-5015 | 2007-01-17 |
| 1336371939 | Miriam A Salvador | Pediatrics | 1437 S Atlantic Blvd, Los Angeles, CA 90022-5015 | 2009-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700405701 | Altamed Health Services Corp | Pharmacy | 972 Goodrich Blvd Rm 100, Los Angeles, CA 90022 | 2020-04-10 |
| 1033699426 | Reachwell Home Health Inc | Home Health | 236 1/4 S Atlantic Blvd, Los Angeles, CA 90022 | 2018-08-15 |
| 1326528704 | Shelli Hernandez | Community Health Worker | Enki Health & Research Systems Inc., 1000 Goodrich Blvd., Commerce, CA 90022 | 2018-08-15 |
| 1477071660 | East Los Angeles Womens Center | Counselor | 1431 S. Atlantic Blvd, Los Angeles, CA 90022 | 2017-09-07 |
| 1467974824 | Ena Vilma Hernandez | Registered Nurse | 245 S Fetterly St, Los Angeles, CA 90022 | 2017-07-07 |
| 1437688843 | Maud D Legaspi | Social Worker | 5425 E. Pomona Blvd, Los Angeles, CA 90022 | 2017-06-08 |
| 1548793920 | Harbor Chiropractic, Inc., A Bahan Company | Chiropractor | 5301 Whittier Blvd, Atrium Lower Level, Los Angeles, CA 90022 | 2017-04-04 |
| 1326590423 | Via Care Community Health Center | Clinic/Center | 501 S. Woods Ave, Los Angeles, CA 90022 | 2016-10-25 |
| 1780057950 | Monica Poomiwatracanont | Pharmacist | 5176 E. Whittier Blvd., Los Angeles, CA 90022 | 2015-11-10 |
| 1609277433 | Ethan C. A Lee Dental Inc. | Dentist | 6046 Whittier Blvd., Los Angeles, CA 90022 | 2014-09-11 |
| Find all providers in zip 90022 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1104470384 | Chan Family Medical Corp | General Practice | 4070 E. Olympic Blvd, Los Angeles, CA 90023 | 2019-07-26 |
| 1972064004 | Divine Help Medical Group Inc | General Practice | 1711 W Temple St Unit 5613, Los Angeles, CA 90026-5421 | 2019-03-29 |
| 1942767801 | Plaza Health Services Inc. | General Practice | 11111 Santa Monica Blvd Ste 200, Los Angeles, CA 90025-3333 | 2019-02-27 |
| 1124536289 | Edward Meltser | General Practice | 469 N Alfred St, Los Angeles, CA 90048-2504 | 2018-01-11 |
| 1023524980 | St. Johns Urgent Care & Medical Corporation | General Practice | 1138 N Western Ave, Los Angeles, CA 90029-1702 | 2017-12-14 |
| 1992234199 | David Ghods | General Practice | 3631 Crenshaw Blvd Ste 109, Los Angeles, CA 90016-4869 | 2017-06-09 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90022 |
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.