Individual provider · Type 1 NPI
Sergey Mironyuk
Driver · Fair Oaks, CA
NPI number
1417815119
Active
Practice location
6485 Brando Loop
Fair Oaks, CA 95628-3764
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | B7174900 (CA) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
Another provider at this address
About NPI 1417815119
Sergey Mironyuk's National Provider Identifier is 1417815119, issued on Jan 12, 2026. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Fair Oaks, CA. The record was last updated on Jan 12, 2026.