| Mahfouz M. Michael,m.d.,inc. | |
|
1437 S Atlantic Blvd Los Angeles CA 90022-5015 | |
| (323) 268-9900 | |
| (323) 268-4993 |
| Full Name | Mahfouz M. Michael,m.d.,inc. |
|---|---|
| Speciality | General Practice |
| Location | 1437 S Atlantic Blvd, Los Angeles, California |
| Authorized Official Name and Position | Mahfouz M. Michael (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8189940804 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mahfouz M. Michael,m.d.,inc. Po Box 291040 Los Angeles CA 90029-9040 Ph: (818) 994-0804 | Mahfouz M. Michael,m.d.,inc. 1437 S Atlantic Blvd Los Angeles CA 90022-5015 Ph: (323) 268-9900 |
| NPI Number | 1104045210 |
|---|---|
| Provider Enumeration Date | 04/25/2007 |
| Last Update Date | 08/22/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104045210 | NPI | - | NPPES |
| GR0029510 | Medicaid | CA |
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