Organization
MARIAM AMIRI
Active
Other names
Loma Linda Foot and Ankle Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIAM SHANAZ AMIRI MD (OWNER)
(909) 796-3707
Entity
Organization
Contact information
Practice address
11332 MOUNTAIN VIEW AVE, SUITE A, LOMA LINDA, CA 92354-3854
(909) 796-3707
(909) 796-3709
Mailing address
PO BOX 1059, LOMA LINDA, CA 92354-1059
(909) 796-3707
(909) 796-3709
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E4049
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GRE001750
—
CA
Enumeration date
07/29/2006
Last updated
08/24/2021
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