NPI | 1649490822 |
---|---|
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 | |
207RP1001X Internal Medicine, Pulmonary Disease | |
Enumeration Date | 2007-04-27 |
Last Update Date | 2007-08-22 |