Healthcare Provider Details

I. General information

NPI: 1154691855
Provider Name (Legal Business Name): MAHA GUINDI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/11/2012
Last Update Date: 01/11/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8700 BEVERLY BLVD SOUTH TOWER SUITE 8709
WEST HOLLYWOOD CA
90048-1804
US

IV. Provider business mailing address

8700 BEVERLY BLVD SOUTH TOWER SUITE 8709
WEST HOLLYWOOD CA
90048-1804
US

V. Phone/Fax

Practice location:
  • Phone: 310-423-6623
  • Fax: 310-423-0122
Mailing address:
  • Phone: 310-423-6623
  • Fax: 310-423-0122

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0101X
TaxonomyAnatomic Pathology Physician
License NumberC55048
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: