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Maged M Faragalla, MD, Inc

Family Medicine Physician in Lynwood, CA · enumerated 2011 · authorized official Ata Mehrtash, President / Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1720378508

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Registry record

Entity type Organization (Type 2)
Legal business name Maged M Faragalla, MD, Inc
Practice address 3624 Martin Luther King Jr Blvd, Lynwood, CA, 90262
Fax (310) 603-1200
Enumeration date Apr 13, 2011
Last updated in NPPES Sep 5, 2012

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Ata Mehrtash
Title President / Owner

Other identifiers

Identifier Type State Issuer
1720378508 Medicaid CA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Maged M Faragalla, MD, Inc?
Maged M Faragalla, MD, Inc is registered in NPPES as a Family Medicine Physician (its primary provider taxonomy).

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-09-05.