Individual
BRIAN R MIURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2900 LOMITA BLVD, TORRANCE, CA 90505-5102
(310) 784-3740
Mailing address
2900 LOMITA BLVD, TORRANCE, CA 90505-5102
(310) 283-2609
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
G80522
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G805220
—
CA
Enumeration date
07/10/2006
Last updated
12/13/2022
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