Organization
MARIAM S AMIRI D P M PROFESSIONAL CORPORATION
Active
Other names
LOMA LINDA AMBULATORY SURGICAL CTR
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIAM AMIRI DPM (OWNER)
(909) 522-7413
Entity
Organization
Contact information
Practice address
11332 MOUNTAIN VIEW AVE STE A, LOMA LINDA, CA 92354-3854
(951) 314-3088
(951) 379-5310
Mailing address
11332 MOUNTAIN VIEW AVE STE A, LOMA LINDA, CA 92354-3854
(951) 314-3088
(951) 379-5310
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/17/2023
Last updated
06/15/2023
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