| NPI | 1508085515 |
|---|---|
| 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 | 207Q00000X Family Medicine |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 208000000X Pediatrics | |
| 208D00000X General Practice | |
| 363LW0102X Nurse Practitioner, Women's Health | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2008-05-05 |