Organization · Type 2 NPI

Mariam Amiri

Ambulatory Surgical Clinic/Center · Loma Linda, CA

NPI number 1063692283 Active

Practice location

11332 Mountain View Ave, Suite A
Loma Linda, CA 92354-3854

Call (909) 796-3707 Map

Fax (909) 796-3709

Mailing address

PO Box 1069
Loma Linda, CA 92354-1069

Specialties and licenses

Taxonomy	Code	License
Ambulatory Surgical Clinic/Center Primary	261QA1903X	240000308 (CA)

Ambulatory Surgical Clinic/Center: Definition to come...

7 other providers at this address

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NPI record

NPI: 1063692283
Entity type: Organization (Type 2)
Issued: Nov 5, 2007
Last updated: Aug 24, 2021
Status: Active

Other names

<unavail>
Loma Linda Ambulatory Surgical Center · doing business as
Loma Linda Ambulatory Surgical Center · doing business as

Authorized official

Dr. Mariam S Amiri, DPM
Owner
(909) 796-3707

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1063692283

Mariam Amiri's National Provider Identifier is 1063692283, issued on Nov 5, 2007. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Loma Linda, CA. The record was last updated on Aug 24, 2021.