Menzel, Miriam Alexandra
Menzel, Miriam Alexandra is an individual health care provider with primary practice located at 710 Lawrence Expy Dept 190, Santa Clara CA 95051-5173. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Menzel, Miriam Alexandra can be contacted via phone (408) 851-1161.Contact Information
Primary practice address
710 Lawrence Expy Dept 190
Santa Clara CA 95051-5173
Phone: (408) 851-1161
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | G63060 | California |
| Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics | 2080P0006X | G63060 | California |
Profile Details
| NPI number | 1710972138 |
|---|---|
| LBN Legal business name | Menzel, Miriam Alexandra |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2005 |
| Last updated | Mar 31st, 2013 - about 11 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 | 1710972138 | NPPES |
| California | MEDICAID | 00G630600 |
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