Active NPI
Miiid Incorporated
- Infectious Disease Physician
- Woodland Hills, CA
National Provider Identifier
1952654592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- A66631
- Legal business name
- MIIID INCORPORATED
- Practice address
- 19730 Ventura Blvd Ste 101
Woodland Hills, CA 91364-2683 - Phone
- (747) 247-0909
- Fax
- (747) 209-1515
- NPI assigned
- Oct 19, 2012
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 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 identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356335277 | Other | CA | INDIVIDUAL PROVIDER NPI |
Other names 2
- Rumi Medical Clinic II
- MiiiD
National Provider Directory
National Provider DirectoryLocations
11539 Hawthorne Blvd
Fl 6
Hawthorne, CA 90250
Phone (310) 675-5370
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1356335277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350604800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768953600000",
"number": "1952654592",
"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": [],
"basic": {
"organization_name": "MIIID INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-19",
"last_updated": "2026-01-21",
"certification_date": "2026-01-21",
"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": "207RI0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": "CA",
"license": "A66631",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL PROVIDER NPI",
"identifier": "1356335277",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Rumi Medical Clinic II",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "MiiiD",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "MiiiD",
"code": "5",
"type": "Other Name"
}
]
}
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 Jan 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.