Maged S Mikhail, MD | |
18344 Clark Street, Suite #202, Tarzana, CA 91356-2812 | |
(818) 654-0520 | |
(818) 654-0520 |
Full Name | Maged S Mikhail |
---|---|
Gender | Male |
Speciality | Surgery - Vascular Surgery |
Location | 18344 Clark Street, Tarzana, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316978299 | NPI | - | NPPES |
00G453670 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | G45367 (California) | Secondary |
2086S0129X | Surgery - Vascular Surgery | G45367 (California) | Primary |
Entity Name | Pacific Valley Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851312862 PECOS PAC ID: 3577465368 Enrollment ID: O20040122000762 |
Entity Name | Tarzana Anesthesia Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508897463 PECOS PAC ID: 2668512914 Enrollment ID: O20091216000556 |
Entity Name | West La Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598462749 PECOS PAC ID: 1658735568 Enrollment ID: O20230911004167 |
Mailing Address | Practice Location Address |
---|---|
Maged S Mikhail, MD Po Box 573446, Tarzana, CA 91357-3446 Ph: (818) 654-0520 | Maged S Mikhail, MD 18344 Clark Street, Suite #202, Tarzana, CA 91356-2812 Ph: (818) 654-0520 |
Robert A Harwood, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 18321 Clark St, Tarzana, CA 91356 Phone: 818-887-7375 Fax: 818-887-7375 | |
Sam A Ebrahimi, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 18375 Ventura Blvd, Suite# 404, Tarzana, CA 91356 Phone: 818-422-5322 | |
Dr. Mudjianto Chandra, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 18370 Burbank Blvd, Suite 607, Tarzana, CA 91356 Phone: 818-709-8161 Fax: 818-709-8160 | |
Mr. Peteris Bormanis, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 4933 Matula Dr, Tarzana, CA 91356 Phone: 818-344-6939 | |
Dr. David Sievers, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 18370 Burbank Blvd, Suite 607, Tarzana, CA 91356 Phone: 818-342-2123 Fax: 818-709-8160 | |
Dr. Raymond Rivera, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 5525 Etiwanda Ave, Suite 222, Tarzana, CA 91356 Phone: 818-345-9600 | |
Robert W Oblath, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 18370 Burbank Blvd, #607, Tarzana, CA 91356 Phone: 818-774-1771 Fax: 818-704-4977 |