Individual provider · Type 1 NPI

Miramannee L. Merryman, PA

Surgical Physician Assistant · Santa Monica, CA

NPI number 1669584736 Active

Practice location

2001 Santa Monica Blvd Ste 680W
Santa Monica, CA 90404-2111

Call (310) 829-8928 Map

Fax (310) 315-6157

Mailing address

PO Box 1138
Culver City, CA 90232-1138

Other practice locations

  • 2121 Santa Monica Blvd, Sjems/emergency Room, Santa Monica, CA 90404-2303 · (310) 582-7084

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XPA17368 (CA)
Surgical Physician Assistant Primary 363AS0400X17368 (CA)

Surgical Physician Assistant: Definition to come...

4 other providers at this address

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About NPI 1669584736

Miramannee L. Merryman, PA's National Provider Identifier is 1669584736, issued on Aug 31, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Santa Monica, CA. The record was last updated on Dec 10, 2021.