Mahfouz M. Michael,M.D.,Inc.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MAHFOUZ M. MICHAEL,M.D.,INC.

Practice address

7119 Rita Ave
Suite C, E, F
Huntington Park, CA 90255-4781

Phone

(323) 582-4980

Fax

(323) 582-4914

NPI assigned

Apr 25, 2007

Organization subpart

No

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

Authorized official

Name

Mahfouz M. Michael, M.D.

Title

Medical Director

Phone

(818) 266-6432

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Clinica Medica San Miguel Doing business as

Locations

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1104045061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 291040",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900299040",
            "telephone_number": "818-994-0804",
            "fax_number": "818-994-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7119 RITA AVE",
            "address_2": "SUITE C, E, F",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902554781",
            "telephone_number": "323-582-4980",
            "fax_number": "323-582-4914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHFOUZ M. MICHAEL,M.D.,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "MICHAEL",
        "authorized_official_first_name": "MAHFOUZ",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "818-266-6432",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR001685B",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinica Medica San Miguel",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Salwa F Magar, DDS
• Jeffrey Magenheimer
• Brenda J Mah-McCaa, M.D.
• Mahfouz M. Michael,M.D., Inc.
• Mahfouz M. Michael,M.D.,Inc
• Mahfouz M. Michael,M.D.,Inc.
• Ruhee Malik
• Christopher Malumbres
• Fernando Donald Mancillas
• Maura Lynn Mann

• General Practice Physician in Huntington Park, CA
• Providers in Huntington Park, 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 May 13, 2008; 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.