Individual
MS. MIRIAM MIVEHKAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM, WHNP
Contact information
Practice address
2001 SANTA MONICA BLVD STE 380, SANTA MONICA, CA 90404-2179
(310) 794-7274
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8707
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
235734
CA
367A00000X
Advanced Practice Midwife
Primary
235734
CA
Other
Enumeration date
10/03/2012
Last updated
10/01/2024
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