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Search › California › 167G00000X

Kenneth Miranda, LPT

NPI 1023137619 · on the registry since 2007

Practice

Address
375 Woodside Ave
Bldg W-3
San Francisco, CA 94127
Phone
(415) 753-4443
Organisation at this address
Youth Justice Institute
Youth Justice Institute
City & County Of San Francisco
City & County Of San Francisco
City & County Of San Francisco
Inferred from a shared address, not stated in the registry.
Clinicians at this address
31

Registry record

Primary taxonomy
167G00000X
167G00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California