Max M Ghannadi MD Medical Corp

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A102618 Issued in CA

Legal business name

MAX M GHANNADI MD MEDICAL CORP

Practice address

14103 Victory Blvd
Suite 7
Van Nuys, CA 91401

Phone

(818) 994-0000

Fax

(818) 988-2949

NPI assigned

Apr 24, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Max M Ghannadi, M.D.

Title

President

Phone

(818) 999-9096

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1240531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286150400000",
    "number": "1003050873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23679 CALABASAS RD",
            "address_2": "# 327",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021502",
            "telephone_number": "818-887-5515",
            "fax_number": "818-225-9230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14103 VICTORY BLVD",
            "address_2": "SUITE 7",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "91401",
            "telephone_number": "818-994-0000",
            "fax_number": "818-988-2949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAX M GHANNADI MD MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-24",
        "last_updated": "2010-10-04",
        "status": "A",
        "authorized_official_last_name": "GHANNADI",
        "authorized_official_first_name": "MAX",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-999-9096",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A102618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harina Shaji Mattappally
• Diane Lucille Matthews, L.C.S.W.
• Mary Matthews
• Graeme Drew Matthewson, MD
• Alexandra Jane Matustik, MS
• Saroyja Maxey
• Bert Allen Maxwell Sr.
• May Light Home Health, Inc.
• May Light Hospice
• Nathalie May

• General Practice Physician in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.