Basic Information
| Provider Information | |||||||||
| NPI: | 1215129986 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | RIZK | ||||||||
| FirstName: | MAGUED | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1100 4TH ST | ||||||||
| Address2: | |||||||||
| City: | TAFT | ||||||||
| State: | CA | ||||||||
| PostalCode: | 932682415 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8003006664 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1100 4TH ST | ||||||||
| Address2: | |||||||||
| City: | TAFT | ||||||||
| State: | CA | ||||||||
| PostalCode: | 932682415 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8003006664 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/15/2007 | ||||||||
| LastUpdateDate: | 09/13/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | MT189785 | PA | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 01069757A | IN | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 35.122125 | OH | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | C138797 | CA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.