Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mehran Mirkazemi, DO, PC

Organization Surgery Physician · NPI 1245412170

Mehran Mirkazemi, DO, PC is a Surgery Physician in Thousand Oaks, California. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

455 E Thousand Oaks Blvd Ste 106
Thousand Oaks, CA 91360-5877
Phone: (805) 908-6552
Fax: (805) 365-4115
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 455 E Thousand Oaks Blvd Ste 106, Thousand Oaks, CA 91360-5877 — (805) 908-6552

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 5101013208 (MI)

Record details

NPI number1245412170
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mehran Mirkazemi — General Surgeon · (313) 580-4244
Other names Golden Oak Surgical Associates
NPI enumeratedDecember 3, 2007
Last updated in NPPESJanuary 12, 2026
Certification dateJanuary 12, 2026
Mailing address455 E Thousand Oaks Blvd Ste 106, Thousand Oaks, CA 91360-5877

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