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NPI Code Detail

MEDICARE: MIRIANA CARE LLC

MEDICARE: MIRIANA CARE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1871900670
Entity Type Code : Organization
Provider Name (Legal Business Name) : MIRIANA CARE LLC
Provider Business Mailing Address
First Line : 5537 BLUEBELL AVE
Second Line :
City : VALLEY VILLAGE
State : CA
Zip : 91607-1909
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5805 SEPULVEDA BLVD
Second Line : SUITE 605
City : SHERMAN OAKS
State : CA
Zip : 91411-2546
Country : US
Telephone Number : 818-636-7773
Fax Number :
Authorized Official
Title or Position : COO
Name : MIRIAM ISTRIN
Credential :
Telephone Number : 818-636-7773
Provider Enumeration Date : 07/14/2014
Last Update Date : 07/14/2014

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Directions to “MIRIANA CARE LLC ” Practice Location

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