Conrad J R Miranda in Northridge - General Practice
Conrad J R Miranda - NPI 1073554168
Conrad J R Miranda is a General Practice in Northridge, California. Conrad J R Miranda practices all healthcare services and medical treatments related to General Practice. The NPI Number for Conrad J R Miranda is 1073554168. The last update date is 2007-07-08.
Conrad J R Miranda's current location address is 9900 Balboa Blvd, Northridge, California. You can contact this provider via phone number 8187010017 and fax number 8187010073. The mailing address for Conrad J R Miranda is 9900 Balboa Blvd, Northridge, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Conrad J R Miranda |
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Address | 9900 Balboa Blvd, Northridge, California |
Phone Number | 8187010017 |
Fax Number | 8187010073 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1073554168 |
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Provider Enumeration Date | 2006-06-09 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 9900 Balboa Blvd |
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City | Northridge |
State | California (CA) |
Post Code | 913255403 |
Phone Number | 8187010017 |
Fax Number | 8187010073 |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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Taxonomy | 208D00000X |
Licence No | C51139 |
Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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C51139 | CA | PHYSICIAN CA LICENSE |
Post Comment/ Review Below
What is the unique identification code assigned to Conrad J R Miranda by the Centers for Medicare & Medicaid Services?
The Conrad J R Miranda has been issued the NPI (National Provider Identifier) 1073554168. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Conrad J R Miranda is physically located?
The Conrad J R Miranda is physically situated at the following address: 9900 Balboa Blvd, Northridge, CA, 913255403.
What is Conrad J R Miranda's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Conrad J R Miranda's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 208D00000X.
On what date did the Conrad J R Miranda receive its 1073554168 assignment from the Centers for Medicare & Medicaid Services?
The Conrad J R Miranda was assigned its 1073554168 by the Centers for Medicare & Medicaid Services on 2006-06-09.
As of what date was the information regarding Conrad J R Miranda, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Conrad J R Miranda, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY