| NPI | 1558581736 |
|---|---|
| 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 | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 208D00000X General Practice | |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2008-01-15 |