# MIRNA R CHAMBI MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265585038
- **Authorized official:** MRS. MIRNA R CHAMBI MD (PRESIDENT)
- **Authorized official phone:** (714) 821-6506

## Contact information

- **Practice address:** 7151 LINCOLN AVE, SUITE B, BUENA PARK, CA 90620-4613
- **Practice address phone:** (714) 821-6506
- **Practice address fax:** (714) 229-0476
- **Mailing address:** 7151 LINCOLN AVE, SUITE B, BUENA PARK, CA 90620-4613
- **Mailing address phone:** (714) 821-6506
- **Mailing address fax:** (714) 229-0476

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | A53149 | CA | Yes |

## Other

- **Enumeration date:** 01/18/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00A531490 | — | CA |