Jimmy Miranda, is a
Social Worker - Clinical based in Long Beach, California. Jimmy Miranda is licensed to practice in California (license number 93359) and his current practice location is
1301 Pine Ave, Long Beach, California. He can be reached at his office (for appointments etc.) via phone at
(562) 595-1159.
NPI number for Jimmy Miranda is 1619320926 and his current mailing address is 1301 Pine Ave, Long Beach, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619320926.
Healthcare Provider's Profile
| Full Name | Jimmy Miranda |
|---|
| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 1301 Pine Ave, Long Beach, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1619320926
- Provider Enumeration Date: 07/21/2016
- Last Update Date: 02/04/2020
Medical Identifiers
Medical identifiers for Jimmy Miranda such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619320926 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 93359 (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. Jimmy 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 |
|---|
Jimmy Miranda,
1301 Pine Ave,
Long Beach, CA 90813-3124
Ph: (562) 595-1159 | Jimmy Miranda,
1301 Pine Ave,
Long Beach, CA 90813-3124
Ph: (562) 595-1159 |
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