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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

NPI Number 1235140336
LBN Legal business name MARIAM AMIRI
Authorized official MARIAM AMIRI - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/11/2006
Last updated 06/17/2008 - About 18 years ago
Identifiers
CA License # E4049
CA Medicaid GRE001751
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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