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Contact Information

MAX M GHANNADI MD MEDICAL CORP
14103 VICTORY BLVD
SUITE 7
VAN NUYS, CA91401
 Phone: 818-994-0000
 Fax: 818-988-2949
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for MAX M GHANNADI MD MEDICAL CORP · (Female)

NPI Number 1003050873
Status Active
Credentials
Entity Individual
Enumeration date 04/24/2009
Last updated 10/04/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # A102618
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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