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Organization
PETER MIAO MD INC
Active
Organization
PETER MIAO MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER VW MIAO MD (DIRECTOR/CEO)
(818) 784-5300
Entity
Organization
Contact information
Practice address
5000 VAN NUYS BLVD, SUITE 200, SHERMAN OAKS, CA 91403-1793
(818) 784-5300
(818) 784-5301
Mailing address
5000 VAN NUYS BLVD, SUITE 200, SHERMAN OAKS, CA 91403-1793
(818) 784-5300
(818) 784-5301
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G28541
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G285410
—
CA
Enumeration date
03/07/2008
Last updated
05/06/2008
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