Organization
MOHAMMED MIRADI MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMED MIRADI M.D. (PRESIDENT)
(619) 644-1483
Entity
Organization
Contact information
Practice address
5565 GROSSMONT CENTER DR, STE 211, LA MESA, CA 91942-3020
(619) 644-1483
Mailing address
PO BOX 2353, LA MESA, CA 91943-2353
(619) 644-1483
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
A53125
CA
Other
Enumeration date
05/17/2007
Last updated
03/07/2023
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