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Organization
MIIID INCORPORATED
Active
Organization
MIIID INCORPORATED
Active
Other names
Rumi Medical Clinic II, MiiiD
Organization subpart
No
Provider details
NPI number
Authorized official
HASMIK JASMINE AVETISYAN (CREDENTIALING COORDINATOR)
(818) 294-7997
Entity
Organization
Contact information
Practice address
19730 VENTURA BLVD STE 101, WOODLAND HILLS, CA 91364-2683
(747) 247-0909
(747) 209-1515
Mailing address
19730 VENTURA BLVD STE 101, WOODLAND HILLS, CA 91364-2683
(747) 247-0909
(747) 209-1515
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
A66631
CA
Other
Enumeration date
10/19/2012
Last updated
01/21/2026
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