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Samira Mirtalaei
Student in an Organized Health Care Education/Training Program in Thousand Oaks, California
NPI 1891480190

Samira Mirtalaei is a Student in an Organized Health Care Education/Training Program based in Thousand Oaks, CA. Samira Mirtalaei practices in Thousand Oaks, CA. The NPI Number for Samira Mirtalaei is 1891480190 and holds a License No. (California).

The current practice location address for Samira Mirtalaei is 501 Marin St Ste 100, Thousand Oaks, CA and can be reached out via phone at 805-413-0350.

Location: 501 Marin St Ste 100, Thousand Oaks, CA, 91360-4265
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891480190
Provider Name
Samira Mirtalaei
Credential
Provider Entity Type
Individual
Gender
Female
Address
501 Marin St Ste 100, Thousand Oaks, CA, 91360-4265
Phone Number
805-413-0350
Fax Number
Provider Enumeration Date
04/11/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
501 Marin St Ste 100
City
Thousand Oaks
State
California
Zip
91360-4265
Phone Number
805-413-0350
Fax Number
person
Provider Business Mailing Address Details
Address
501 Marin St Ste 100
City
Thousand Oaks
State
California
Zip
91360-4265
Phone Number
805-413-0350
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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