Mirkazemi, Mehran
Mirkazemi, Mehran is an sole proprietor health care provider with primary practice located at 455 E Thousand Oaks Blvd Ste 106 , Thousand Oaks CA 91360-5877. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Mirkazemi, Mehran can be contacted via phone (805) 908-6552.Contact Information
Primary practice address
455 E Thousand Oaks Blvd Ste 106
Thousand Oaks CA 91360-5877
Phone: (805) 908-6552
Fax: (805) 365-4115
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 20A24169 | California |
| Other Service Providers / Specialist | 174400000X | 5101013208 | Michigan |
Profile Details
| NPI number | 1811967268 |
|---|---|
| LBN Legal business name | Mirkazemi, Mehran |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Jan 8th, 2026 - about 9 months 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 | 1811967268 | NPPES |
| Michigan | MEDICAID | 4406640 |
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