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:
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Health care specialties

SpecialtyCodeLicense #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 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447369103 NPPES
California MEDICAID 00A34248

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