Organization
MARIAM AMIRI
Active
Other names
Loma Linda Ambulatory Surgical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIAM S AMIRI DPM (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 1069, LOMA LINDA, CA 92354-1069
(909) 796-3707
(909) 796-3709
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
240000308
CA
Other
Enumeration date
11/05/2007
Last updated
08/24/2021
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