Mira Cantrell in Los Angeles - Geriatric Medicine
Mira Cantrell - NPI 1932147055
Mira Cantrell is a Geriatric Medicine in Los Angeles, California. Mira Cantrell practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Mira Cantrell is 1932147055. The last update date is 2011-10-25.
Mira Cantrell's current location address is 11500 Nimitz Ave, Los Angeles, California. You can contact this provider via phone number 4248328268 and fax number 4248328270. The mailing address for Mira Cantrell is 11500 Nimitz Ave, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mira Cantrell |
---|---|
Address | 11500 Nimitz Ave, Los Angeles, California |
Phone Number | 4248328268 |
Fax Number | 4248328270 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1932147055 |
---|---|
Provider Enumeration Date | 2006-06-02 |
Last Updated Date | 2011-10-25 |
Provider Mailing Address Detail
Address | 11500 Nimitz Ave |
---|---|
City | Los Angeles |
State | California (CA) |
Post Code | 900493566 |
Phone Number | 4248328268 |
Fax Number | 4248328270 |
Provider's Primary Taxonomy Detail
Speciality | Geriatric Medicine |
---|---|
Taxonomy | 207Rg0300X |
Licence No | A39040 |
Definition: An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the of |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
A39040 | CA | LICENCE |
Post Comment/ Review Below
What is the unique identifier code issued to Mira Cantrell by the Centers for Medicare & Medicaid Services (CMS)?
The Mira Cantrell has been assigned the NPI (National Provider Identifier) 1932147055. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Mira Cantrell is geographically located?
The Mira Cantrell is physically situated at the following location: 11500 Nimitz Ave, Los Angeles, CA, 900493566.
What is the Mira Cantrell's area of specialization and corresponding taxonomy classification?
The Mira Cantrell's specialty field is Geriatric Medicine, and it falls under the taxonomy code 207Rg0300X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1932147055 to Mira Cantrell?
The Centers for Medicare & Medicaid Services assigned the 1932147055 to Mira Cantrell on 2006-06-02.
As of what date were the details pertaining to Mira Cantrell last refreshed?
The information related to the Mira Cantrell, including its address, specialty, and other relevant details, was last updated on 2011-10-25.