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Carissa Van Mierlo

NPI 1972269975 · on the registry since 2021

Practice

Address
23961 Calle De La Magdalena Ste 119
Laguna Hills, CA 92653
Phone
(949) 837-5111
Organisation at this address
Neurodpm, Inc.
Btt Enterprises
Wave Imaging Llc
Dean A Le Md Inc
Beel Medical, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
107

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-11-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California