Individual
DR. JOSEPH N MIRKOVICH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7500 HELLMAN AVE, ROSEMEAD, CA 91770-2216
(626) 288-1160
(626) 371-1320
Mailing address
6521 VIA LORENZO, RANCHO PALOS VERDES, CA 90275-6543
(323) 842-2658
(888) 235-1709
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
39185
TN
2084P0800X
Psychiatry Physician
Primary
77930
CA
2084P0800X
Psychiatry Physician
A77930
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A779300
—
CA
Enumeration date
02/23/2006
Last updated
06/21/2019
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