Organization
MARIAM AMIRI
Active
Other names
Loma Linda Foot and Ankle 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
18225 OUTER HIGHWAY 18, APPLE VALLEY, CA 92307
(760) 242-5096
(909) 242-3814
Mailing address
PO BOX 1069, LOMA LINDA, CA 92354-1069
(909) 796-3707
(909) 796-3709
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E4049
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GRE001751
—
CA
Enumeration date
08/11/2006
Last updated
06/17/2008
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