Daniel Boone Miranda, is a
Licensed Psychiatric Technician based in San Luis Obispo, California. Daniel Boone Miranda is licensed to practice in California (license number 36369) and his current practice location is
1989 Vicente Dr, San Luis Obispo, California. He can be reached at his office (for appointments etc.) via phone at
(805) 781-4179.
NPI number for Daniel Boone Miranda is 1285994939 and his current mailing address is 1989 Vicente Dr, San Luis Obispo, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1285994939.
Healthcare Provider's Profile
Full Name | Daniel Boone Miranda |
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Gender | Male |
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Speciality | Licensed Psychiatric Technician |
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Location | 1989 Vicente Dr, San Luis Obispo, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1285994939
- Provider Enumeration Date: 05/29/2012
- Last Update Date: 01/24/2024
Medical Identifiers
Medical identifiers for Daniel Boone Miranda such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285994939 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | PT 36369 (California) | Secondary |
167G00000X | Licensed Psychiatric Technician | 36369 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Daniel Boone Miranda is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Daniel Boone Miranda, 1989 Vicente Dr, San Luis Obispo, CA 93405-6863 Ph: (805) 781-4179 | Daniel Boone Miranda, 1989 Vicente Dr, San Luis Obispo, CA 93405-6863 Ph: (805) 781-4179 |
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