Individual
DR. MEHRAN MIRKAZEMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
455 E THOUSAND OAKS BLVD STE 106, THOUSAND OAKS, CA 91360-5877
(805) 908-6552
(805) 365-4115
Mailing address
455 E THOUSAND OAKS BLVD STE 106, THOUSAND OAKS, CA 91360-5877
(805) 908-6552
(805) 365-4115
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
5101013208
MI
208600000X
Surgery Physician
Primary
20A24169
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4406640
—
MI
Enumeration date
01/26/2006
Last updated
01/08/2026
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