M.G. Mikhail, M.D., Inc.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

A33159 Issued in CA

Legal business name

M.G. MIKHAIL, M.D., INC.

Practice address

18321 Clark St
Tarzana, CA 91356-3501

Phone

(818) 708-5285

NPI assigned

Jul 6, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Mokhtar Mikhail, M.D.

Title

Owner

Phone

(818) 708-5285

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1245261122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11999 SAN VICENTE BLVD",
            "address_2": "#440",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900495131",
            "telephone_number": "310-440-3131",
            "fax_number": "310-471-3958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18321 CLARK ST",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563501",
            "telephone_number": "818-708-5285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.G. MIKHAIL, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "MIKHAIL",
        "authorized_official_first_name": "MOKHTAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-708-5285",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A33159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A331591",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "050001308",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beata Lyashevska
• Iris Bonita Lynch, CADC-11
• Ivana Lyon, SLP-A
• Kathy Lyons, LMFT
• M Farasatpour MD Professional Corporation
• Nicholas James Macaluso, MD
• Racquel Anatalio Macasaet, D.D.S.
• Ramil Almendrala Macasaet, D.D.S.
• Adrian Altarejos Macavinta
• Einna Marie Macavinta

• Anesthesiology Physician in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.