Provider Demographics
NPI:1871921718
Name:HEMASILPIN, MIRIN
Entity type:Individual
Prefix:
First Name:MIRIN
Middle Name:
Last Name:HEMASILPIN
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 1:22554 VENTURA BLVD STE 117
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-1436
Mailing Address - Country:US
Mailing Address - Phone:818-224-2095
Mailing Address - Fax:818-224-2096
Practice Address - Street 1:22554 VENTURA BLVD STE 117
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-1436
Practice Address - Country:US
Practice Address - Phone:818-224-2095
Practice Address - Fax:818-224-2096
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-30
Last Update Date:2013-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA386382080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine