| Miriam Elizabeth Mirmotahari, NP | |
|
1133 N Palm Canyon Dr, Palm Springs, CA 92262-4431 | |
| (760) 320-8005 | |
| Not Available |
| Full Name | Miriam Elizabeth Mirmotahari |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 1133 N Palm Canyon Dr, Palm Springs, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851911135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 95019163 (California) | Primary |
| Entity Name | Vascular Associates Of Southern California, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689835563 PECOS PAC ID: 9335285543 Enrollment ID: O20091001000241 |
| Mailing Address | Practice Location Address |
|---|---|
| Miriam Elizabeth Mirmotahari, NP 25590 Prospect Ave Apt 30h, Loma Linda, CA 92354-3151 Ph: (425) 443-7677 | Miriam Elizabeth Mirmotahari, NP 1133 N Palm Canyon Dr, Palm Springs, CA 92262-4431 Ph: (760) 320-8005 |
Lynn Rochele Lopez Santos, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1180 N Indian Canyon Dr Ste W304, Palm Springs, CA 92262 Phone: 760-322-9562 | |
Alicia Berenice Rios, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1180 N Indian Canyon Dr Ste E420, Palm Springs, CA 92262 Phone: 760-778-7147 | |
Mr. Matthew Gabriel Moran, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 555 E Tachevah Dr Ste 1e201, Palm Springs, CA 92262 Phone: 760-299-6487 | |
Madeline Elizabeth Ramirez, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1555 S Palm Canyon Dr, Palm Springs, CA 92264 Phone: 760-969-7770 Fax: 760-969-7771 | |
Tina Michelle Huff, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 275 N El Cielo Rd Ste D-402, Palm Springs, CA 92262 Phone: 760-320-8814 | |
Ms. Beverly A Kram, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 415 S Palm Canyon Dr, Palm Springs, CA 92262 Phone: 760-568-2684 Fax: 760-341-5832 | |
Ms. Ann Marie Ala, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1100 N Palm Canyon Dr # 104-106, Palm Springs, CA 92262 Phone: 760-327-1188 Fax: 760-322-2886 |