Demirdjian, Mirna
Demirdjian, Mirna is an sole proprietor health care provider with primary practice located at 2501 E Chapman Ave Ste 107 , Fullerton CA 92831-3135. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Demirdjian, Mirna can be contacted via phone (714) 409-6881.Contact Information
Primary practice address
2501 E Chapman Ave Ste 107
Fullerton CA 92831-3135
Phone: (714) 409-6881
Fax: (480) 422-8886
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 42234 | Arizona |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | C162232 | California |
Profile Details
| NPI number | 1407085665 |
|---|---|
| LBN Legal business name | Demirdjian, Mirna |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 9th, 2009 |
| Last updated | Apr 30th, 2021 - about 5 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 | 1407085665 | NPPES |
| Arizona | MEDICAID | 440426 |
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