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Organization
MARIAM AMIRI
Active
Organization
MARIAM AMIRI
Active
Other names
Loma Linda Foot and Ankle Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIAM SHANAZ AMIRI MD (OWNER)
(909) 796-3707
Entity
Organization
Contact information
Practice address
11332 MOUNTAIN VIEW AVE, SUITE A, LOMA LINDA, CA 92354-3854
(909) 796-3707
(909) 796-3709
Mailing address
PO BOX 1059, LOMA LINDA, CA 92354-1059
(909) 796-3707
(909) 796-3709
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E4049
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GRE001750
—
CA
Enumeration date
07/29/2006
Last updated
08/24/2021
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