| Maged M Faragalla, Md, Inc | |
|
605 N Mednik Ave Los Angeles CA 90022-1326 | |
| (323) 326-6700 | |
| (323) 262-0006 |
| Full Name | Maged M Faragalla, Md, Inc |
|---|---|
| Speciality | General Practice |
| Location | 605 N Mednik Ave, Los Angeles, California |
| Authorized Official Name and Position | Nagy Bebawy (MEDICAL DIRECTOR/OWNER) |
| Authorized Official Contact | 3235848700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maged M Faragalla, Md, Inc 2542 E Florence Ave Suite B Walnut Park CA 90255-4774 Ph: (323) 584-8700 | Maged M Faragalla, Md, Inc 605 N Mednik Ave Los Angeles CA 90022-1326 Ph: (323) 326-6700 |
| NPI Number | 1447337241 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 11/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447337241 | NPI | - | NPPES |
| 1447337241 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (California) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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