Individual
DR. OMEAD MIRGOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7600 RIVER RD, NORTH BERGEN, NJ 07047-6217
(201) 854-5000
Mailing address
5762 FAIRHAVEN AVE, WOODLAND HILLS, CA 91367-3927
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A195169
CA
Other
Enumeration date
03/24/2020
Last updated
09/09/2024
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