Nasser H Mizban, M.D

Primary specialty

Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X

License

A40153 Issued in CA

Practice address

1904 Bailey St Ste 100
Los Angeles, CA 90033-1700

Phone

(323) 222-9675

Fax

(323) 343-1314

NPI assigned

Apr 6, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831211978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 BAILEY ST STE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331700",
            "telephone_number": "323-222-9675",
            "fax_number": "323-343-1314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 BAILEY ST STE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331700",
            "telephone_number": "323-222-9675",
            "fax_number": "323-343-1314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZBAN",
        "first_name": "NASSER",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "CA",
            "license": "A40153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shin Miyata, M.D.
• Stanley Mitsuo Miyawaki, D.M.D., M.S.
• Brian Miyazaki
• Brian A. Miyazaki, MD
• Madeline Miyoshi, LMFT
• Tracey Lynn Mize, NURSE
• Matthew Mizel
• Shawna Mizell
• Kiylee Mizera
• Susan Frugone Miziker, MA, CCC-A

• Occupational Medicine Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Occupational Medicine Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.