Maged M Faragalla, MD, Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MAGED M FARAGALLA, MD, INC

Practice address

605 N Mednik Ave
Los Angeles, CA 90022-1326

Phone

(323) 326-6700

Fax

(323) 262-0006

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Nagy Bebawy, M.D.

Title

Medical Director/Owner

Phone

(323) 584-8700

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352419200000",
    "number": "1447337241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2542 E FLORENCE AVE",
            "address_2": "SUITE B",
            "city": "WALNUT PARK",
            "state": "CA",
            "postal_code": "902554774",
            "telephone_number": "323-584-8700",
            "fax_number": "323-584-5472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 N MEDNIK AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900221326",
            "telephone_number": "323-326-6700",
            "fax_number": "323-262-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGED M FARAGALLA, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2012-11-09",
        "status": "A",
        "authorized_official_last_name": "BEBAWY",
        "authorized_official_first_name": "NAGY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "323-584-8700",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447337241",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daisy Magdaleno
• Katelyn Shyann Magdaleno
• Lorena Magdaleno
• Sara Magdalin, RD
• Eloisa Magdaluyo
• Corena G Magee
• Edana Eugena S Magee, ASW 74184
• Paul Magee
• Thomas Joseph Magee, MD
• William Preston Magee III, M.D.,D.D.S.

• General Practice Physician in Los Angeles, CA
• Providers in Los Angeles, 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 Nov 9, 2012; 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.