MARIAM AMIRI NPI 1063692283

NPI Information

NPI: 1063692283
Provider Name: MARIAM AMIRI

Doing Business As: LOMA LINDA AMBULATORY SURGICAL CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
11332 MOUNTAIN VIEW AVE
SUITE A
LOMA LINDA, CA
ZIP 92354
Phone: (909) 796-3707
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MARIAM AMIRI is an ambulatory surgical clinic center in Loma Linda, CA. MARIAM AMIRI NPI is 1063692283. The provider is registered as an organization entity type.
The provider Is Doing Business As Loma Linda Ambulatory Surgical Center.

The provider's business location address is:

11332 MOUNTAIN VIEW AVE
SUITE A
LOMA LINDA, CA
ZIP 92354-854
Phone: (909) 796-3707
Fax: (909) 796-3709

The provider's authorized official is Mariam S Amiri .
The authorized official title is Owner and has the following contact phone number (909) 796-3707.

The enumeration date for this NPI number is 11/5/2007 and was last updated on 8/24/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	240000308	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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