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Contact Information

MARIAM AMIRI
18225 OUTER HIGHWAY 18
APPLE VALLEY, CA92307
 Phone: 760-242-5096
 Fax: 909-242-3814
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for MARIAM AMIRI · (Female)

NPI Number 1235140336
Status Active
Credentials
Entity Individual
Enumeration date 08/11/2006
Last updated 06/17/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # E4049
  • CA Medicaid GRE001751
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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