SearchCalifornia172A00000X

Sergey Mironyuk

NPI 1417815119 · on the registry since 2026 · sole proprietor

Practice

Address
6485 Brando Loop
Fair Oaks, CA 95628
Phone
(916) 712-7630

Registry record

Primary taxonomy
172A00000X
172A00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-01-12

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