| Maged M Faragalla, Md, Inc | |
|
3624 Martin Luther King Jr Blvd Lynwood CA 90262-2607 | |
| (310) 603-9300 | |
| (310) 603-1200 |
| Full Name | Maged M Faragalla, Md, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 3624 Martin Luther King Jr Blvd, Lynwood, California |
| Authorized Official Name and Position | Ata O Mehrtash (PRESIDENT / OWNER) |
| Authorized Official Contact | 5625313331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maged M Faragalla, Md, Inc 3624 Martin Luther King Jr Blvd Lynwood CA 90262-2607 Ph: (310) 603-9300 | Maged M Faragalla, Md, Inc 3624 Martin Luther King Jr Blvd Lynwood CA 90262-2607 Ph: (310) 603-9300 |
| NPI Number | 1720378508 |
|---|---|
| Provider Enumeration Date | 04/13/2011 |
| Last Update Date | 09/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720378508 | NPI | - | NPPES |
| 1720378508 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Jwch Institute, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3590 E Imperial Hwy, Lynwood, CA 90262 Phone: 323-201-4516 | |
Christylcare Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3611 Martin Luther King Jr Blvd, Suite 108, Lynwood, CA 90262 Phone: 310-537-2588 Fax: 310-537-9456 | |
Stuart Wolf Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3621 Mlk Jr Blvd Ste 6, Lynwood, CA 90262 Phone: 323-566-1675 | |
Meher F Tabatabai Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3621 Mlk Blvd, 6, Lynwood, CA 90262 Phone: 310-537-1503 Fax: 310-537-0538 | |
Med Forte Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3680 E Imperial Hwy, Suite 470, Lynwood, CA 90262 Phone: 310-604-3456 | |
Harding G. Young, Md, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3617 Martin Luther King Jr Blvd, Suite 1, Lynwood, CA 90262 Phone: 310-631-2660 | |
St. Francis Primary Care Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3628 E Imperial Hwy, Suite 202, Lynwood, CA 90262 Phone: 310-631-5000 |