Kelly Miranda in Moreno Valley - Physician Assistant
Kelly Miranda - NPI 1578671558
Kelly Miranda is a Physician Assistant in Moreno Valley, California. Kelly Miranda practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kelly Miranda is 1578671558. The last update date is 2014-10-16.
Kelly Miranda's current location address is 26520 Cactus Ave, Moreno Valley, California. You can contact this provider via phone number 9514864698. The mailing address for Kelly Miranda is 26520 Cactus Ave, Moreno Valley, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kelly Miranda |
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Address | 26520 Cactus Ave, Moreno Valley, California |
Phone Number | 9514864698 |
Fax Number | |
Sole Proprietor | N |
Credentials | PA-C, MPT |
NPI Number Detail
NPI Number | 1578671558 |
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Provider Enumeration Date | 2006-08-29 |
Last Updated Date | 2014-10-16 |
Provider Mailing Address Detail
Address | 26520 Cactus Ave |
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City | Moreno Valley |
State | California (CA) |
Post Code | 925553927 |
Phone Number | 9514864698 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | 52008 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
Post Comment/ Review Below
What is the unique provider identifier assigned to Kelly Miranda?
The Kelly Miranda has been issued the NPI (National Provider Identifier) 1578671558 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Kelly Miranda is located?
The Kelly Miranda is situated at the following address: 26520 Cactus Ave, Moreno Valley, CA, 925553927.
What is Kelly Miranda's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kelly Miranda is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1578671558 to Kelly Miranda?
The Kelly Miranda received its 1578671558 assignment from the Centers for Medicare & Medicaid Services on 2006-08-29.
As of what date were the details pertaining to Kelly Miranda last refreshed?
The information related to the Kelly Miranda, including its address, specialty, and other relevant details, was last updated on 2014-10-16.
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