Organization
SOPHIA N. MIRVISS, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE ERVIN (BILLING MANAGER)
(925) 286-9039
Entity
Organization
Contact information
Practice address
3000 COLBY ST STE 201, BERKELEY, CA 94705-2058
(510) 843-0692
Mailing address
3000 COLBY ST STE 201, BERKELEY, CA 94705-2058
(510) 843-0692
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/03/2020
Last updated
02/03/2020
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