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Iden M Amiri
Student in an Organized Health Care Education/Training Program in Marina Del Rey, California
NPI 1902656630

Iden M Amiri is a Student in an Organized Health Care Education/Training Program based in Marina Del Rey, CA. Iden M Amiri practices in Marina Del Rey, CA. The NPI Number for Iden M Amiri is 1902656630 and holds a License No. (California).

The current practice location address for Iden M Amiri is 4812 La Villa Marina Unit F, Marina Del Rey, CA and can be reached out via phone at 310-740-7656. You can also correspond with Iden M Amiri through the mailing address at 4812 LA VILLA MARINA UNIT F, MARINA DEL REY, CA - 90292-7082 (mailing address contact number: 310-740-7656).

Location: 4812 La Villa Marina Unit F, Marina Del Rey, CA, 90292-7082
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902656630
Provider Name
Iden M Amiri
Credential
Provider Entity Type
Individual
Gender
Male
Address
4812 La Villa Marina Unit F, Marina Del Rey, CA, 90292-7082
Phone Number
310-740-7656
Fax Number
Provider Enumeration Date
03/25/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
4812 La Villa Marina Unit F
City
Marina Del Rey
State
California
Zip
90292-7082
Phone Number
310-740-7656
Fax Number
person
Provider Business Mailing Address Details
Address
4812 La Villa Marina Unit F
City
Marina Del Rey
State
California
Zip
90292-7082
Phone Number
310-740-7656
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.
()
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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