| NPI | 1134348261 |
|---|---|
| Doing Business As | CLINICA MEDICA SAN MIGUEL |
| Entity Type | Organization |
| Authorized Contact | MAHFOUZ M. MICHAEL Medical Director 818-994-0804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 208000000X Pediatrics |
| 2085U0001X Radiology, Diagnostic Ultrasound | |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2007-11-26 |