| Miramadi Chiropractic A Professional Corporation | |
|
1122 E Lincoln Ave Ste B200 Orange CA 92865-1918 | |
| (714) 602-7479 | |
| (714) 602-7408 |
| Full Name | Miramadi Chiropractic A Professional Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 1122 E Lincoln Ave Ste B200, Orange, California |
| Authorized Official Name and Position | Mandana Miramadi (PRESIDENT) |
| Authorized Official Contact | 7146027479 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Miramadi Chiropractic A Professional Corporation Po Box 17633 Anaheim CA 92817-7633 Ph: (714) 602-7479 | Miramadi Chiropractic A Professional Corporation 1122 E Lincoln Ave Ste B200 Orange CA 92865-1918 Ph: (714) 602-7479 |
| NPI Number | 1407253354 |
|---|---|
| Provider Enumeration Date | 11/20/2014 |
| Last Update Date | 03/04/2023 |
| Medicare PECOS PAC ID | 6002139656 |
|---|---|
| Medicare Enrollment ID | O20150128000727 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407253354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | DC 33004 (California) | Primary |
| Provider Name | Mandana Miramadi |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1881090843 PECOS PAC ID: 7810210465 Enrollment ID: I20150128001346 |
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