MAHFOUZ M. MICHAEL,M.D.,INC (NPI# 1649490822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649490822 |
| Entity Type | Organization |
| Organization Name | MAHFOUZ M. MICHAEL,M.D.,INC |
| Other Organization Name | CLINICA MEDICA SAN MIGUEL |
| Practice Address |
2618 S Western Ave Los Angeles CA 90018-2627 |
| Mailing Address |
Po Box 291040 Los Angeles CA 90029-9040 |
| Practice Telephone | 3237309000 |
| Practice Fax Number | 3237304825 |
| Mailing Telephone | 8189940804 |
| Mailing Fax Number | 8189941288 |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2007-08-22 |
| Authorized Official Name | MAHFOUZ M. MICHAEL (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8182666432 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0016852 | 05 |
| Other Name | Type Code |
|---|---|
| Clinica Medica San Miguel | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871779777 | Mahfouz M. Michael,m.d.,inc | Family Medicine | 5417 Pacific Blvd, Huntington Park, CA 90255-2532 | 2008-01-10 |
| 1861611899 | Mahfouz M. Michael,m.d.,inc | Chiropractor | 115 E Washington Blvd, 122 E. Washington Blvd., Los Angeles, CA 90015-3606 | 2007-04-25 |
| 1609095603 | Mahfouz M. Michael,m.d.,inc | Dermatology | 1101 N Vermont Ave, Los Angeles, CA 90029-1701 | 2007-04-25 |
| Street Address |
2618 S WESTERN AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90018-2627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851435457 | Aklil Tadesse | Physician Assistant | 2618 S Western Ave, Los Angeles, CA 90018-2627 | 2007-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548753429 | Gilda Panales | Behavioral Analyst | 2919 1/2 South Bronson Ave, Los Angeles, CA 90018 | 2018-06-14 |
| 1083125603 | The Dream Catcher Foundation, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 3601 2nd Ave, Los Angeles, CA 90018 | 2017-10-23 |
| 1598292351 | Brittney Shanice Hinton | Counselor | 3125 W Adams Blvd, #9, Los Angeles, CA 90018 | 2017-05-11 |
| 1639556632 | Erica Gladden | Radiologic Technologist | 2923 South Dalton Ave, Los Angeles, CA 90018 | 2015-04-29 |
| 1881085942 | Tanisha Merriweather | Counselor | 3521 11th Ave, Los Angeles, CA 90018 | 2015-02-11 |
| 1790088763 | Richard Windom | Counselor | 1361 Exposition Blvd., Los Angeles, CA 90018 | 2010-12-14 |
| 1790095214 | Donielle Spencer | Rehabilitation Practitioner | 1968 W Adams Blvd., Ste 101, Los Angeles, CA 90018 | 2010-10-18 |
| 1780906404 | Earl Cooper | Internal Medicine | 2424 8th Ave., Los Angeles, CA 90018 | 2010-02-22 |
| 1295066207 | Gilda Beatriz Gomez | Rehabilitation Practitioner | 2116 Arlington Ave. Suite 200, Los Angeles, CA 90018 | 2010-01-15 |
| 1922332899 | Roberto Carlos Cisnerso | Counselor | 2357 W. 30th St., Los Angeles, CA 90018 | 2009-09-25 |
| Find all providers in zip 90018 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063923 | Claude Kathy Marquis | Family Medicine | 400 S June St, Los Angeles, CA 90020-4812 | 2020-11-03 |
| 1376159939 | Margarette Morney-kuanyawo | Family Medicine | 515 S Fuller Ave, Los Angeles, CA 90036-3244 | 2020-09-18 |
| 1780207803 | Julia Solis | Family Medicine | 1414 S Grand Ave Ste 200&380, Los Angeles, CA 90015-3067 | 2020-05-22 |
| 1033739578 | Now Medical | Family Medicine | 1333 S Hill St, Los Angeles, CA 90015-3012 | 2020-04-24 |
| 1710514930 | Los Angeles Medical Center Foundation | Family Medicine | 2010 Wilshire Blvd Fl 2, Los Angeles, CA 90057-3507 | 2020-03-26 |
| 1740817212 | Quality Medical Group Inc | Family Medicine | 5230 Pacific Concourse Dr Ste 110, Los Angeles, CA 90045-6258 | 2020-03-25 |
| 1760012108 | Majid Sabour Md. PC. | Family Medicine | 1125 S Beverly Dr Ste 420, Los Angeles, CA 90035-1191 | 2020-01-24 |
| 1164061461 | Sequoia Quality Health Inc | Family Medicine | 2007 Wilshire Blvd Fl 3, Los Angeles, CA 90057-3519 | 2020-01-03 |
| 1437792447 | Northeast Community Clinic | Family Medicine | 1414 S Grand Ave Ste 300, Los Angeles, CA 90015-3072 | 2019-10-22 |
| 1386298867 | Prompt Healthcare, Inc., A Medical Corporation | Family Medicine | 1972 West 48th Street, #a, Los Angeles, CA 90062 | 2019-08-01 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90018 |
Please comment or provide details below to improve the information on MAHFOUZ M. MICHAEL,M.D.,INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.