Dr Mandana Miramadi, DC | |
1122 E Lincoln Ave Ste B200, Orange, CA 92865-1918 | |
(714) 602-7479 | |
(714) 602-7408 |
Full Name | Dr Mandana Miramadi |
---|---|
Gender | Female |
Speciality | Chiropractor |
Location | 1122 E Lincoln Ave Ste B200, Orange, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881090843 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | DC 33004 (California) | Primary |
Provider Name | Miramadi Chiropractic, A Professional Corporation |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1407253354 PECOS PAC ID: 6002139656 Enrollment ID: O20150128000727 |
Mailing Address | Practice Location Address |
---|---|
Dr Mandana Miramadi, DC Po Box 17633, Anaheim, CA 92817-7633 Ph: (714) 602-7479 | Dr Mandana Miramadi, DC 1122 E Lincoln Ave Ste B200, Orange, CA 92865-1918 Ph: (714) 602-7479 |
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