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1720378508
MAGED M FARAGALLA, MD, INC
LYNWOOD, CA
NPI
1720378508
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Entity Type
Organization
Authorized Contact
ATA O MEHRTASH
President / Owner
562-531-3331
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2011-04-13
Last Update Date
2012-09-05
Business Address
MAGED M FARAGALLA, MD, INC
3624 MARTIN LUTHER KING JR BLVD
LYNWOOD, CA 90262-2607
Phone number: 310-603-9300
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Mailing Address
MAGED M FARAGALLA, MD, INC
3624 MARTIN LUTHER KING JR BLVD
LYNWOOD, CA 90262-2607
Phone number: 310-603-9300
Copy
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