Provider Demographics
NPI:1891479523
Name:MIRZA, AMINA BEGUM
Entity Type:Individual
Prefix:
First Name:AMINA
Middle Name:BEGUM
Last Name:MIRZA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2009 E FAIRWAY DR APT 2
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92866-3339
Mailing Address - Country:US
Mailing Address - Phone:562-412-8169
Mailing Address - Fax:562-317-8139
Practice Address - Street 1:2009 E FAIRWAY DR APT 2
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92866-3339
Practice Address - Country:US
Practice Address - Phone:562-412-8169
Practice Address - Fax:562-317-8139
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-13
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula