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NPI Code Detail

MEDICARE: MAHFOUZ M. MICHAEL,M.D.,INC.

MEDICARE: MAHFOUZ M. MICHAEL,M.D.,INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician
2207RC0000XCardiovascular Disease Physician
3207RR0500XRheumatology Physician
4207V00000XObstetrics & Gynecology Physician
5207W00000XOphthalmology Physician
6207Y00000XOtolaryngology Physician
7208000000XPediatrics Physician
82085U0001XDiagnostic Ultrasound Physician
92086S0129XVascular Surgery Physician
10208D00000XGeneral Practice Physician
11363L00000XNurse Practitioner
12363A00000XPhysician Assistant
13207R00000XInternal Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881627057
Entity Type Code : Organization
Provider Name (Legal Business Name) : MAHFOUZ M. MICHAEL,M.D.,INC.
Provider Business Mailing Address
First Line : PO BOX 291040
Second Line :
City : LOS ANGELES
State : CA
Zip : 90029-9040
Country : US
Telephone Number : 818-994-0804
Fax Number : 818-994-1288
Provider Business Practice Location Address
First Line : 8781 VAN NUYS BLVD
Second Line :
City : PANORAMA CITY
State : CA
Zip : 91402-2406
Country : US
Telephone Number : 818-994-0804
Fax Number : 818-994-1288
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : DR. MAHFOUZ M. MICHAEL
Credential : M.D.
Telephone Number : 818-994-0804
Provider Enumeration Date : 07/09/2006
Last Update Date : 05/14/2008

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Practice Fax: 800-581-7735
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Directions to “MAHFOUZ M. MICHAEL,M.D.,INC. ” Practice Location

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