Miremadi Dermatology Medical Corporation
LBN: Miremadi Dermatology Medical Corporation
Miremadi Dermatology Medical Corporation is an health care organization with primary practice located at 7702 Ivanhoe Ave , La Jolla CA 92037-4520. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology, Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatopathology is the primary health care specialty.
Miremadi Dermatology Medical Corporation can be contacted via phone (858) 456-1840, or through Miremadi, Arjang K via phone (858) 456-1840.
Contact Information
Primary practice address
7702 Ivanhoe Ave
La Jolla CA 92037-4520
Phone: (858) 456-1840
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | A31016 | California |
| Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology | 207NI0002X | A31016 | California |
| Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | A31016 | California |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | A31016 | California |
Profile Details
| NPI number | 1760663116 |
|---|---|
| LBN Legal business name | Miremadi Dermatology Medical Corporation |
| DBA Doing business as | |
| Authorized official | Miremadi, Arjang K Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 14th, 2007 |
| Last updated | Dec 20th, 2007 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760663116 | NPPES |
| California | MEDICAID | 00A310160 |
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