Mirels, Laurence F

Mirels, Laurence F is an individual health care provider with primary practice located at 751 S Bascom Ave Infectious Disease Dept, San Jose CA 95128-2604. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Mirels, Laurence F can be contacted via phone (408) 885-4310.

Contact Information

Primary practice address
751 S Bascom Ave Infectious Disease Dept San Jose CA 95128-2604
Phone: (408) 885-4310
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X G78043 California

Profile Details

NPI number 1265598411
LBN Legal business name Mirels, Laurence F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2006
Last updated Sep 12th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265598411 NPPES
California MEDICAID 00G780430

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