Individual provider · Type 1 NPI

Conrad J. R. Miranda Iv, MD

General Practice Physician · Northridge, CA

NPI number 1073554168 Active

Practice location

9900 Balboa Blvd, Suite A
Northridge, CA 91325-5403

Call (818) 701-0017 Map

Fax (818) 701-0073

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XC51139 (CA)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

8 other providers at this address

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About NPI 1073554168

Conrad J. R. Miranda Iv, MD's National Provider Identifier is 1073554168, issued on Jun 9, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Northridge, CA. The record was last updated on Jul 8, 2007.