Organization
MIIID INCORPORATED
Active
Other names
Rumi Medical Clinic II, MiiiD
Organization subpart
No
Provider details
NPI number
Authorized official
HASMIK JASMINE AVETISYAN (CREDENTIALING COORDINATOR)
(818) 294-7997
Entity
Organization
Contact information
Practice address
19730 VENTURA BLVD STE 101, WOODLAND HILLS, CA 91364-2683
(747) 247-0909
(747) 209-1515
Mailing address
19730 VENTURA BLVD STE 101, WOODLAND HILLS, CA 91364-2683
(747) 247-0909
(747) 209-1515
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
A66631
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356335277
INDIVIDUAL PROVIDER NPI
CA
Enumeration date
10/19/2012
Last updated
01/21/2026
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