Mirr Group Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MIRR GROUP INC

Doing business as

Medixcal
Prime Medical Supplies

Practice address

14942 Delano St
Van Nuys, CA 91411-2122

Phone

(818) 900-0710

NPI assigned

Feb 23, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ilgar SeyediNPI 1184323339

Title

Owner

Phone

(818) 900-0710

Specialties & licenses 3

Addresses

Other names 2

• Medixcal Doing business as
• Prime Medical Supplies Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ilgar Seyedi

  • Behavior Technician
  • Canoga Park, CA
  • NPI 1184323339
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1614038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614038400000",
    "number": "1588258289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14942 DELANO ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112122",
            "telephone_number": "818-900-0710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14942 DELANO ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112122",
            "telephone_number": "818-900-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRR GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-23",
        "last_updated": "2021-02-23",
        "certification_date": "2020-09-24",
        "status": "A",
        "authorized_official_last_name": "SEYEDI",
        "authorized_official_first_name": "ILGAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-900-0710"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medixcal",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Prime Medical Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ivon Miranda
• Sofia Miranda
• Debra L. Mireles, N.P.
• Lisa Mireles
• Richard Mireles
• Yeghisheh Mirzoyan, D.D.S.
• Matthew G Mischel, M.D.
• Howard Mishkin, PH.D.
• Misner Dental Corp
• Misner DMD Dental Corp

• Durable Medical Equipment & Medical Supplies in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.