Individual
DR. HALLEH MIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8700 BEVERLY BLVD, ROOM 4311, WEST HOLLYWOOD, CA 90048-1804
(310) 423-4991
(310) 423-2114
Mailing address
8700 BEVERLY BLVD, ROOM 4311, WEST HOLLYWOOD, CA 90048-1804
(310) 423-4434
(310) 423-2114
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
A671430
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A671430
—
CA
05
—
GR0053510
—
CA
Enumeration date
06/29/2006
Last updated
12/08/2021
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