Provider Demographics
NPI:1942547328
Name:PIRAN, MICHAL (MSOT)
Entity Type:Individual
Prefix:MRS
First Name:MICHAL
Middle Name:
Last Name:PIRAN
Suffix:
Gender:F
Credentials:MSOT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4222 CAMINO TICINO
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92122-1828
Mailing Address - Country:US
Mailing Address - Phone:858-736-6530
Mailing Address - Fax:
Practice Address - Street 1:4222 CAMINO TICINO
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92122-1828
Practice Address - Country:US
Practice Address - Phone:858-736-6530
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-06
Last Update Date:2013-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10996225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist