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Daniel Miranda
NPI 1285994939 · on the registry since 2012 · sole proprietor
Practice
- Address
- 1989 Vicente Dr
San Luis Obispo, CA 93405 - Phone
- (805) 781-4179
- Clinicians at this address
- 15
Additional practice sites
- 2178 Johnson Ave, San Luis Obispo, CA
Registry record
- Primary taxonomy
- 167G00000X
167G00000X
- Also registered as
- 101YM0800X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-01-24
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