| NPI | 1659591832 |
|---|---|
| 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 | 207VG0400X Obstetrics & Gynecology, Gynecology |
| 207VX0000X Obstetrics & Gynecology, Obstetrics | |
| 208000000X Pediatrics | |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2007-08-23 |