NPI 1003050873

Max M Ghannadi MD Medical Corp

Organisation General Practice Physician Van Nuys, CA

Practice location

Address: 14103 Victory Blvd Suite 7, Van Nuys, CA 91401
Phone: (818) 994-0000
Fax: (818) 988-2949
Mailing address: 23679 Calabasas Rd # 327, Calabasas, CA 91302-1502

Authorised official

Name: Max M Ghannadi
Title: President
Phone: (818) 999-9096

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence A102618 (CA)

Other General Practice providers in California →

Registry record

NPI: 1003050873
Entity type: Organization
NPI issued: 24 Apr 2009
Record last updated: 4 Oct 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.