National Provider Identifier Database

MAX M GHANNADI MD MEDICAL CORP
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


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
* General Practice 208D00000X

* Indicates primary specialty

NPI Profile & details for MAX M GHANNADI MD MEDICAL CORP

NPI Number 1003050873
Legal business name
LBN
MAX M GHANNADI MD MEDICAL CORP
Authorized official MAX GHANNADI - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 04/24/2009
Last updated 10/04/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: A102618

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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