Individual
DR. CHRISTINE BOTTRELL MIRZAIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4650 W SUNSET BLVD, MS #76, LOS ANGELES, CA 90027-6062
(323) 361-2113
(323) 361-8003
Mailing address
4650 W SUNSET BLVD, MS #76, LOS ANGELES, CA 90027-6062
(323) 361-2113
(323) 361-8003
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A115776
CA
2080P0006X
Developmental - Behavioral Pediatrics Physician
A115776
CA
Other
Enumeration date
02/16/2013
Last updated
10/19/2016
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