MAHFOUZ M. MICHAEL,M.D.,INC. (NPI# 1558581736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558581736 |
| Entity Type | Organization |
| Organization Name | MAHFOUZ M. MICHAEL,M.D.,INC. |
| Other Organization Name | CLINICA MEDICA SAN MIGUEL |
| Practice Address |
931 Buena Vista St Ste 102 Duarte CA 91010-1780 |
| Mailing Address |
Po Box 291040 Los Angeles CA 90029-9040 |
| Practice Telephone | 6263032525 |
| Practice Fax Number | 6263037664 |
| Mailing Telephone | 8189940804 |
| Mailing Fax Number | 8189941288 |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2008-01-15 |
| 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 | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0016858 | 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 |
| 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 |
| 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 |
931 BUENA VISTA ST STE 102 |
| City | DUARTE |
| State | CA |
| Zip Code | 91010-1780 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720268998 | American Family Medical Providers Inc | Specialist | 931 Buena Vista St Ste 102, Duarte, CA 91010-1780 | 2007-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386266849 | Cheyenne King | Student in an Organized Health Care Education/Training Program | 1801 Huntington Drive, Duarte, Ca 91010, Duarte, CA 91010 | 2020-05-07 |
| 1114578028 | Cristian Gonzalez | Case Manager/Care Coordinator | 2250 E Foothill Ave, Pasadena, CA 91010 | 2019-09-23 |
| 1366932378 | Maisie Madrid | Marriage & Family Therapist | 1801 Huntington Drive, Duarte, CA 91010 | 2018-05-15 |
| 1598289571 | Bertha Maria Torres | Social Worker | 938 E. Huntington Drive, Unit A, Duarte, CA 91010 | 2017-08-01 |
| 1598292286 | Sheila Ramirez | Occupational Therapy Assistant | 2302 Citrus View Ave, Duarte, CA 91010 | 2017-05-12 |
| 1982059556 | Patricia Mendoza | Case Manager/Care Coordinator | 2502 E.huntington Dr., Duarte, CA 91010 | 2016-05-02 |
| 1770966178 | Sinziana Dumitra | Surgery | 1500 Durate Road California, Mob L001, Duarte, CA 91010 | 2015-07-02 |
| 1477940161 | Jin Sun L Bitar | Internal Medicine | 1500 Duarte Rd # Wing4, Duarte, CA 91010 | 2015-04-20 |
| 1659625622 | Jeanette Marie Petermann | Nurse Practitioner | 1036 East Huntington Drive, Duarte, CA 91010 | 2012-10-30 |
| 1649534397 | Nathaniel J Khoe Dds. Inc | Dentist | 1016 Huntington Drive, Duarte, CA 91010 | 2012-06-27 |
| Find all providers in zip 91010 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144665423 | Mihae Song | Obstetrics & Gynecology | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2013-05-01 |
| 1114185923 | Stephen Jae-jin Lee | Obstetrics & Gynecology | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2008-05-29 |
| 1467547398 | Mark Wakabayashi | Obstetrics & Gynecology | 1500 E Duarte Rd, Duarte, CA 91010 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639786122 | My Virtual Physician, P.c | Obstetrics & Gynecology | 4900 California Ave Fl 2, Bakersfield, CA 93309-7024 | 2020-09-28 |
| 1942817804 | La Vista Health | Obstetrics & Gynecology | 180 W Willow St Unit 3, Pomona, CA 91768-1800 | 2020-09-24 |
| 1629685730 | Farshid Moossazadeh, M.d., A Professional Corporation | Obstetrics & Gynecology | 11633 Hawthorne Blvd Ste 300, Hawthorne, CA 90250-2369 | 2020-09-23 |
| 1528673886 | Dtla Gynecology | Obstetrics & Gynecology | 1245 Wilshire Blvd Ste 690, Los Angeles, CA 90017-4880 | 2020-09-14 |
| 1659982130 | Anaya Women's Ob/gyn Group | Obstetrics & Gynecology | 18056 Wika Rd Ste B, Apple Valley, CA 92307-2194 | 2020-08-10 |
| 1477163046 | Pioneers Memorial Healthcare District | Obstetrics & Gynecology | 751 W Legion Rd Ste 204, Brawley, CA 92227-7755 | 2020-08-07 |
| 1669093357 | Adventist Health Physicians Network | Obstetrics & Gynecology | 1505 Wilson Ter Ste 300, Glendale, CA 91206-4073 | 2020-05-04 |
| 1376180893 | Elisa M Lindley Md Corporation | Obstetrics & Gynecology | 41750 Rancho Las Palmas Dr Ste D1, Rancho Mirage, CA 92270-5512 | 2019-12-03 |
| 1043864184 | Gail Mezrow | Obstetrics & Gynecology | 1280 Coldwater Canyon Dr, Beverly Hills, CA 90210-2405 | 2019-07-26 |
| 1417516444 | Matrix Clinical Research | Obstetrics & Gynecology | 1919 W 7th St Fl 2, Los Angeles, CA 90057-4103 | 2019-06-12 |
| Find all providers with the same taxonomy | ||||
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.