Individual provider · Type 1 NPI

Joseph M. Mirra, MD

Specialist · West Hollywood, CA

NPI number 1417064254 Active

Practice location

8700 Beverly Blvd, Room 8725
West Hollywood, CA 90048-1804

Call (818) 338-8103 Map

Fax (818) 338-8119

Mailing address

31255 Cedar Valley Dr, Suite 324
Westlake Village, CA 91362-4014

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XG22184 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1417064254

Joseph M. Mirra, MD's National Provider Identifier is 1417064254, issued on Aug 25, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in West Hollywood, CA. The record was last updated on Jul 8, 2007.