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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 13 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 1710972138 NPPES
California MEDICAID 00G630600

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