Ali, Mariam Thiab
Ali, Mariam Thiab is an individual health care provider with primary practice located at 1233 North Vermont Avenue Suite #2, Los Angeles CA 90029. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Ali, Mariam Thiab can be contacted via phone (323) 666-5116.Contact Information
Primary practice address
1233 North Vermont Avenue Suite #2
Los Angeles CA 90029
Phone: (323) 666-5116
Fax: (323) 666-1780
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | NMW990 | California |
Profile Details
| NPI number | 1962542761 |
|---|---|
| LBN Legal business name | Ali, Mariam Thiab |
| Credentials | RNC CNM NURSEMIDWIFE |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962542761 | NPPES |
| California | MEDICAID | NMW009901 |
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