Individual
MORTEZA MIRKARIMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3863 CLAIREMONT DR, SAN DIEGO, CA 92117
(858) 483-5570
(858) 483-5572
Mailing address
3863 CLAIREMONT DR, SAN DIEGO, CA 92117-5831
(858) 483-5570
(858) 483-5572
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A39662
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A39662
—
CA
01
—
1487757589
NEW NPI NUMBER FOR CORPORATION
CA
Enumeration date
09/06/2006
Last updated
12/30/2014
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