Mirzaei, Maryam
Mirzaei, Maryam is an sole proprietor health care provider with primary practice located at 2925 Palo Verde Ave , Long Beach CA 90815-1552. She recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Student Health, Student, Health Care / Student in an Organized Health Care Education/Training Program, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Mirzaei, Maryam can be contacted via phone (562) 799-2020.Contact Information
Primary practice address
2925 Palo Verde Ave
Long Beach CA 90815-1552
Phone: (562) 799-2020
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Student Health | 261QS1000X | ||
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Eye and Vision Services Providers / Optometrist | 152W00000X | 35032 | California |
Profile Details
| NPI number | 1508536343 |
|---|---|
| LBN Legal business name | Mirzaei, Maryam |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 14th, 2021 |
| Last updated | Dec 22nd, 2023 - about 3 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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