Organization · NPI-2

Bahaa Girgis M D INC

Clinic/Center · Mission Viejo, CA

NPI number1447301833
StatusActive
Last updated in NPPESOct 23, 2026

Details

NPI
1447301833
Entity type
Organization (NPI-2)
Legal business name
Bahaa Girgis M D INC
Organization subpart
No
Enumeration date
Jan 15, 2007
Certification date
Oct 23, 2026
Last updated
Oct 23, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/CenterA64665CAYes

Practice location

31481 Paseo Diosa
Mission Viejo, CA 92675-1842

Phone 951-756-5551

Mailing address

31481 Paseo Diosa
San Juan Capistrano, CA 92675-1842

Phone 951-756-5551

Authorized official

Bahaa Bolous Girgis
Ceo
9513522421

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