Organization Active NPI

Miiid Incorporated

  • Internal Medicine Physician
  • Woodland Hills, CA
National Provider Identifier
1821438987
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A66631 Issued in CA
Legal business name
MIIID INCORPORATED
Doing business as
Rumi Medical Clinic II
Practice address
19730 Ventura Blvd Ste 101
Woodland Hills, CA 91364-2683
Phone
(747) 247-0909
Fax
(747) 209-1515
NPI assigned
Jul 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Authorized official

Name
Hasmik Jasmine Avetisyan
Title
Credentialing Coordinator
Phone
(818) 294-7997

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X A66631 CA Primary

Addresses

Primary practice location

19730 Ventura Blvd Ste 101
Woodland Hills, CA 91364-2683

Mailing address

19730 Ventura Blvd Ste 101
Woodland Hills, CA 91364-2683
Phone (747) 247-0909

Other practice location 1

6360 Wilshire Blvd
Ste 414
Los Angeles, CA 90048-5603
Phone (323) 397-0897

Other names 1

  • Rumi Medical Clinic II Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140204001432 CA Part B Supplier - Clinic/Group Practice 3072742428 Receives reassigned benefits from 2 practitioners
Practice locations: Woodland Hills, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1372809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772496000000",
    "number": "1821438987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19730 VENTURA BLVD STE 101",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642683",
            "telephone_number": "747-247-0909",
            "fax_number": "747-209-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19730 VENTURA BLVD STE 101",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642683",
            "telephone_number": "747-247-0909",
            "fax_number": "747-209-1515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6360 Wilshire Blvd",
            "address_2": "Ste 414",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900485603",
            "country_code": "US",
            "telephone_number": "323-397-0897",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIIID INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-03",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A",
        "authorized_official_last_name": "AVETISYAN",
        "authorized_official_first_name": "HASMIK",
        "authorized_official_middle_name": "JASMINE",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "818-294-7997"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A66631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rumi Medical Clinic II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.