| NPI | 1104045061 |
|---|---|
| Doing Business As | CLINICA MEDICA SAN MIGUEL |
| Entity Type | Organization |
| Authorized Contact | MAHFOUZ M. MICHAEL Medical Director 818-266-6432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207RR0500X Internal Medicine, Rheumatology | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2008-05-13 |