Individual
PAMELA DIANE MINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
200 MEDICAL PLAZA, #365,530,420,120, LOS ANGELES, CA 90095
(310) 794-9718
Mailing address
5767 W CENTURY BLVD, SUITE 200, LOS ANGELES, CA 90045-5632
(310) 794-9718
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
NP401318
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00NP11289
—
CA
Enumeration date
08/11/2006
Last updated
06/13/2012
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