MAHFOUZ M. MICHAEL,M.D.,INC. (NPI# 1659591832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659591832 |
| Entity Type | Organization |
| Organization Name | MAHFOUZ M. MICHAEL,M.D.,INC. |
| Other Organization Name | CLINICA MEDICA SAN MIGUEL |
| Practice Address |
954 N Vermont Ave Los Angeles CA 90029-3529 |
| Mailing Address |
Po Box 291040 Los Angeles CA 90029-9040 |
| Practice Telephone | 3236666866 |
| Practice Fax Number | 3236669996 |
| Mailing Telephone | 8189940804 |
| Mailing Fax Number | 9199941288 |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2007-08-23 |
| Authorized Official Name | DR. MAHFOUZ M. MICHAEL (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8189940804 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
Allopathic & Osteopathic Physicians | ||
| N | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0029860 | 05 |
| Other Name | Type Code |
|---|---|
| Clinica Medica San Miguel | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558581736 | Mahfouz M. Michael,m.d.,inc. | Family Medicine | 931 Buena Vista St Ste 102, Duarte, CA 91010-1780 | 2007-04-27 |
| 1134348261 | Mahfouz M. Michael,m.d.,inc. | Pediatrics | 7128 Pacific Blvd, Suite A, Huntington Park, CA 90255-4776 | 2007-04-25 |
| 1609095587 | Mahfouz M. Michael,m.d.,inc. | Family Medicine | 1500 Glenoaks Blvd, San Fernando, CA 91340-1780 | 2007-04-25 |
| 1104045210 | Mahfouz M. Michael,m.d.,inc. | Internal Medicine | 1437 S Atlantic Blvd, Los Angeles, CA 90022-5015 | 2007-04-25 |
| 1104045061 | Mahfouz M. Michael,m.d.,inc. | Family Medicine | 7119 Rita Ave, Suite C, E, F, Huntington Park, CA 90255-4781 | 2007-04-25 |
| 1093934986 | Mahfouz M. Michael,m.d.,inc. | Family Medicine | 122 E Washington Blvd, Los Angeles, CA 90015-3601 | 2007-04-25 |
| 1609095660 | Mahfouz M. Michael,m.d.,inc. | Internal Medicine | 825 N Park Ave, Pomona, CA 91768-3002 | 2007-04-25 |
| 1881627057 | Mahfouz M. Michael,m.d.,inc. | Nurse Practitioner | 8781 Van Nuys Blvd, Panorama City, CA 91402-2406 | 2006-07-09 |
| Street Address |
954 N VERMONT AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90029-3529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407455355 | Karen Cardona | Health Educator | 954 N Vermont Ave, Los Angeles, CA 90029-3529 | 2020-10-21 |
| 1043784044 | Leo Mclaughlin Jr. | Case Manager/Care Coordinator | 954 N Vermont Ave, Los Angeles, CA 90029-3529 | 2019-01-14 |
| 1700267465 | Rebecca Chohlas-wood | Internal Medicine | 954 N Vermont Ave, Los Angeles, CA 90029-3529 | 2015-06-17 |
| 1184002073 | Hannah Rebecca Hochman Segal | Internal Medicine | 954 N Vermont Ave, Los Angeles, CA 90029-3529 | 2015-05-11 |
| 1033410238 | Marnel C. Baradi | Physician Assistant | 954 N Vermont Ave, Los Angeles, CA 90029-3529 | 2010-11-04 |
| 1467633602 | Lyda Saeedy | Nurse Practitioner | 954 N Vermont Ave, Los Angeles, CA 90029-3529 | 2007-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053884775 | Melrose Recovery, LLC. | Substance Abuse Rehabilitation Facility | 1253 N Commonwealth Ave, Los Angeles, CA 90029 | 2019-01-04 |
| 1548740939 | Mission City Community Network Inc | Clinic/Center | 5300 Santa Monica Blvd Ste 202, Los Angeles, CA 90029 | 2018-08-15 |
| 1215454707 | Dennis De Vera | Respiratory Therapist, Registered | 1154 N. Berendo St, Los Angeles, CA 90029 | 2017-08-24 |
| 1508390881 | Acadia Malibu, Inc. | Community/Behavioral Health | 4423 and 4423 1/2 Santa Monica Boulevard, Los Angeles, CA 90029 | 2017-04-13 |
| 1023556610 | Jasen Mcgoldrick | Substance Abuse Rehabilitation Facility | 4445 Burns Ave., Los Angeles, CA 90029 | 2017-02-03 |
| 1679930572 | Sukhwa Park | Acupuncturist | 4870 Santa Monica Blvd, Los Angeles, CA 90029 | 2016-01-22 |
| 1629326749 | Jocelyn Anne Brown | Midwife | 1042 Sanborn Ave Apt 9, Los Angeles, CA 90029 | 2012-08-21 |
| 1811211915 | Advanced Skilled Nursing Inc. | Skilled Nursing Facility | 975 North Virgil Avenue, Los Angeles, CA 90029 | 2010-03-17 |
| 1427244060 | Manuel Masaganda Ferreras | Technician/Technologist | 1131 N Vermont Ave Ste 101, Los Angeles, CA 90029 | 2007-09-18 |
| 1033321013 | Zhirayr Jerry Khoshoryan | Chiropractor | 1233 Vermont Ave., Suite 1b, Los Angeles, CA 90029 | 2007-05-04 |
| Find all providers in zip 90029 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528673886 | Dtla Gynecology | Obstetrics & Gynecology | 1245 Wilshire Blvd Ste 690, Los Angeles, CA 90017-4880 | 2020-09-14 |
| 1417516444 | Matrix Clinical Research | Obstetrics & Gynecology | 1919 W 7th St Fl 2, Los Angeles, CA 90057-4103 | 2019-06-12 |
| 1578011805 | Robert Maurice Carlton | Obstetrics & Gynecology | 1301 Warner Ave, Los Angeles, CA 90024-5125 | 2016-09-15 |
| 1346698628 | Leah Marsh | Obstetrics & Gynecology | Ucla Department of Ob/gyn 10833 Le Conte Ave 27-139 Chs, Los Angeles, CA 90095-1804 | 2016-05-27 |
| 1679927354 | Christina Tabit Evans | Obstetrics & Gynecology | 8315 Gonzaga Ave, Los Angeles, CA 90045-2577 | 2016-04-19 |
| 1831553544 | Sara Hatlen | Obstetrics & Gynecology | File 50978, Los Angeles, CA 90074-2004 | 2016-04-08 |
| 1477915601 | Xiaoyue Mona Guo | Obstetrics & Gynecology | 2020 Zonal Ave Ste 220, Los Angeles, CA 90089-2914 | 2016-03-26 |
| 1366814204 | Kristin Louie | Obstetrics & Gynecology | 1200 N State St # C3f-107, Los Angeles, CA 90033-1029 | 2015-10-29 |
| 1760879431 | Madison Sternberg | Obstetrics & Gynecology | 1701 E Cesar E Chavez Ave Ste 225, Los Angeles, CA 90033-2496 | 2015-04-21 |
| 1083000657 | Lydia Ning Lo | Obstetrics & Gynecology | 757 Westwood Plaza, Room B-711, Ucla Ob/gyn, Los Angeles, CA 90095-0001 | 2015-04-10 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90029 |
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.