MAX M GHANNADI MD MEDICAL CORP – NPI #1003050873
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

MAX M GHANNADI MD MEDICAL CORP is a provider located in VAN NUYS, CA. NPPES has assigned the NPI number 1003050873 to MAX M GHANNADI MD MEDICAL CORP on April 24, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 16 years ago on Oct 04, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MAX M GHANNADI MD MEDICAL CORP below.

NPI Profile for
MAX M GHANNADI MD MEDICAL CORP

NPI Number
1003050873
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MAX M GHANNADI MD MEDICAL CORP
Primary location
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
Phone: (818) 887-5515 Fax: (818) 225-9230
Organization Subpart
No
Authorized Official
MAX GHANNADI
PRESIDENT
Phone: (818) 999-9096
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
CA A102618

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.