Maicenna Medical Group

NPI #1659701787 in Downey, California

Provider Information

NPI Number: 1659701787
Entity Type: Organization
Organization Name: Maicenna Medical Group
Primary Specialty: Family Medicine
Enumeration Date: Nov 27, 2013
Last Updated: Nov 27, 2013

Practice Location

Address: 8504 FIRESTONE BLVD
Address 2: SUITE 271
City: Downey
State: California
ZIP Code: 90241-4926
Phone: (310) 702-6007

Authorized Official

Name: DR. BEHZAD SOUFERZADEH, MD
Title: GENERAL PARTNER/PROVIDER
Phone: (310) 702-6007

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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