Individual provider · Type 1 NPI
Raul Miranda, MD
Adult Medicine Physician · Costa Mesa, CA
NPI number
1407895006
Active
Practice location
272 Victoria St, Ste. 2K
Costa Mesa, CA 92627-1974
Fax (949) 548-7475
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | A049913 (CA) |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
About NPI 1407895006
Raul Miranda, MD's National Provider Identifier is 1407895006, issued on Jun 6, 2006. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Costa Mesa, CA. The record was last updated on Jul 28, 2010.