Individual
DR. ALAN P. MIRASOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
920 S ROBERTSON BLVD, LOS ANGELES, CA 90035-1612
(310) 551-0690
Mailing address
1576 AUTUMN LN, PASADENA, CA 91107-1347
(917) 992-6855
Taxonomy
Speciality
Code
Description
License number
State
2081H0002X
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
Primary
C51939
CA
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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