Individual
MIRA MARIA JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9300 CAMPUS POINT DR, LA JOLLA, CA 92037-1300
(800) 926-8273
Mailing address
FILE 57326, LOS ANGELES, CA 90074-7326
(800) 926-8273
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A196769
CA
207R00000X
Internal Medicine Physician
MD61153632
WA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
A196769
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD61153632
WA
207RP1001X
Pulmonary Disease Physician
A196769
CA
208M00000X
Hospitalist Physician
298729
NY
Other
Enumeration date
03/25/2017
Last updated
08/01/2024
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