Individual
HARIS MIRZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6345 BALBOA BLVD STE 250, ENCINO, CA 91316-5236
(818) 344-3937
Mailing address
6345 BALBOA BLVD, ENCINO, CA 91316-1519
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
35065
CA
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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