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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

NPI Number 1003050873
LBN Legal business name MAX M GHANNADI MD MEDICAL CORP
Authorized official MAX GHANNADI - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/24/2009
Last updated 10/04/2010 - About 16 years ago
Identifiers
CA License # A102618
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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