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CLINICA MEDICA SAN MIGUEL
NPI 1104045210
General Practice in Los Angeles, CA

Active since April 25, 2007
1437 S ATLANTIC BLVD, LOS ANGELES, CA 90022(323) 268-9900(323) 268-4993 Get Directions Write a Review

NPPES record last updated: August 22, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Clinica Medica San Miguel NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLINICA MEDICA SAN MIGUEL (NPI 1104045210) is a healthcare organization registered as a general practice in Los Angeles, California and active in the NPI registry since April 2007. The organization lists Mahfouz M. Michael, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1104045210
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMAHFOUZ M. MICHAEL,M.D.,INC.
Location Address1437 S ATLANTIC BLVDLos Angeles, CA 90022-5015
Mailing AddressPo Box 291040Los Angeles, CA 90029-9040 · (818) 994-0804 · Fax (818) 994-1288
Phone(323) 268-9900
Fax(323) 268-4993
Organization SubpartNo
Authorized OfficialMahfouz M. MichaelMedical Director · (818) 994-0804
Enumeration DateApril 25, 2007
Last NPPES UpdateAugust 22, 2007
✔ NPI 1104045210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedOphthalmologyTaxonomy 207W00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X
1437 S ATLANTIC BLVD, Los Angeles, CA 90022
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Other Names 1

Doing Business AsClinica Medica San Miguel

Other Identifiers 2

Medicare PINW7916GCA
MedicaidGR0029510CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MIRIAM A SALVADOR M.D.
Pediatrics
1437 S ATLANTIC BLVD
LOS ANGELES, CA 90022
Los Angeles County (323) 268-9900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mahfouz M. Michael,m.D.,inc.'s NPI number?

The NPI number for Mahfouz M. Michael,m.D.,inc. is 1104045210. It was assigned to this organization in the NPPES registry on April 25, 2007. The provider is doing business as Clinica Medica San Miguel.

Where is Mahfouz M. Michael,m.D.,inc. located?

Mahfouz M. Michael,m.D.,inc. is located at 1437 S Atlantic Blvd, Los Angeles, CA 90022. The listed phone number is (323) 268-9900.

What is Mahfouz M. Michael,m.D.,inc.'s specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Mahfouz M. Michael,m.D.,inc. was last updated on August 22, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.