Individual
DR. BRIAN MIRAZIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3518 W 8TH ST, LOS ANGELES, CA 90005-2902
(213) 384-9949
(213) 384-8530
Mailing address
5953 ATLANTIC BLVD, MAYWOOD, CA 90270-3133
(323) 562-6170
(323) 562-6176
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A49332
CA
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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