NPI | 1881627057 |
---|---|
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 | 207R00000X Internal Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
207RC0000X Internal Medicine, Cardiovascular Disease | |
207RR0500X Internal Medicine, Rheumatology | |
207V00000X Obstetrics & Gynecology | |
207W00000X Ophthalmology | |
207Y00000X Otolaryngology | |
208000000X Pediatrics | |
2085U0001X Radiology, Diagnostic Ultrasound | |
2086S0129X Surgery, Vascular Surgery | |
208D00000X General Practice | |
363L00000X Nurse Practitioner | |
363A00000X Physician Assistant | |
Enumeration Date | 2006-07-09 |
Last Update Date | 2008-05-14 |