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MAGED M FARAGALLA, MD, INC
NPI 1720378508
Family Medicine in Lynwood, CA

Active since April 13, 2011
3624 MARTIN LUTHER KING JR BLVD, LYNWOOD, CA 90262(310) 603-9300(310) 603-1200 Get Directions Write a Review

NPPES record last updated: September 5, 2012. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Maged M Faragalla, Md, Inc NPPES

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

MAGED M FARAGALLA, MD, INC (NPI 1720378508) is a healthcare organization registered as a family medicine in Lynwood, California and active in the NPI registry since April 2011. The organization lists Ata O Mehrtash, President / Owner, as its authorized official.

NPPES Registry Identity

NPI1720378508
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMAGED M FARAGALLA, MD, INC
Location Address3624 MARTIN LUTHER KING JR BLVDLynwood, CA 90262-2607
Mailing Address3624 Martin Luther King Jr BlvdLynwood, CA 90262-2607 · (310) 603-9300 · Fax (310) 603-1200
Phone(310) 603-9300
Fax(310) 603-1200
Organization SubpartNo
Authorized OfficialAta O MehrtashPresident / Owner · (562) 531-3331
Enumeration DateApril 13, 2011
Last NPPES UpdateSeptember 5, 2012
✔ NPI 1720378508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
3624 MARTIN LUTHER KING JR BLVD, Lynwood, CA 90262
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Other Identifiers 1

Medicaid1720378508CA

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 2

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

ATEST LABS
Clinical Medical Laboratory
3624 MARTIN LUTHER KING JR BLVD
LYNWOOD, CA 90262
Los Angeles County (949) 293-7072
BANJ HEALTH CENTER, INC.
Clinic/Center (Primary Care)
3624 MARTIN LUTHER KING JR BLVD
LYNWOOD, CA 90262
Los Angeles County (424) 785-5164

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 Maged M Faragalla, MD, Inc's NPI number?

The NPI number for Maged M Faragalla, MD, Inc is 1720378508. It was assigned to this organization in the NPPES registry on April 13, 2011.

Where is Maged M Faragalla, MD, Inc located?

Maged M Faragalla, MD, Inc is located at 3624 Martin Luther King Jr Blvd, Lynwood, CA 90262. The listed phone number is (310) 603-9300.

What is Maged M Faragalla, MD, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Maged M Faragalla, MD, Inc was last updated on September 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.