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Search › California › 164X00000X

Marissa Miranda

NPI 1477266427 · on the registry since 2023 · sole proprietor

Practice

Address
1212 Pico St
San Fernando, CA 91340
Phone
(818) 627-4777
Organisation at this address
County Of Los Angeles
County Of Los Angeles
County Of Los Angeles
County Of Los Angeles
County Of Los Angeles Auditor Controller
Inferred from a shared address, not stated in the registry.
Clinicians at this address
24

Registry record

Primary taxonomy
164X00000X
164X00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-01-04

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