| Mirandahealth Medical Center Inc A Professional Nursing Corporation | |
|
1222 Sephos St Manteca CA 95337-8079 | |
| (209) 456-4323 | |
| Not Available |
| Full Name | Mirandahealth Medical Center Inc A Professional Nursing Corporation |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1222 Sephos St, Manteca, California |
| Authorized Official Name and Position | Raydel Miranda (CEO) |
| Authorized Official Contact | 2094564323 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mirandahealth Medical Center Inc A Professional Nursing Corporation 1222 Sephos St Manteca CA 95337-8079 Ph: (209) 456-4323 | Mirandahealth Medical Center Inc A Professional Nursing Corporation 1222 Sephos St Manteca CA 95337-8079 Ph: (209) 456-4323 |
| NPI Number | 1730920141 |
|---|---|
| Provider Enumeration Date | 06/03/2024 |
| Last Update Date | 06/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730920141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
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