| Jose Miranda Md Inc. | |
|
12665 Garden Grove Blvd #301 Garden Grove CA 92843-1901 | |
| (714) 939-7500 | |
| Not Available |
| Full Name | Jose Miranda Md Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 12665 Garden Grove Blvd, Garden Grove, California |
| Authorized Official Name and Position | Jose Miranda (OWNER) |
| Authorized Official Contact | 7149397500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jose Miranda Md Inc. Po Box 571470 Salt Lake City UT 84157-1470 Ph: (310) 388-9012 | Jose Miranda Md Inc. 12665 Garden Grove Blvd #301 Garden Grove CA 92843-1901 Ph: (714) 939-7500 |
| NPI Number | 1720216377 |
|---|---|
| Provider Enumeration Date | 06/22/2009 |
| Last Update Date | 06/22/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720216377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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