# JAVIER E. MIRO, M.D., INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124320213
- **Authorized official:** DR. JAVIER E. MIRO M.D. (OWNER)
- **Authorized official phone:** (661) 665-0505

## Contact information

- **Practice address:** 3838 SAN DIMAS ST STE B231, BAKERSFIELD, CA 93301-1494
- **Practice address phone:** (661) 665-0505
- **Practice address fax:** (661) 665-7844
- **Mailing address:** 3838 SAN DIMAS ST STE B231, BAKERSFIELD, CA 93301-1494
- **Mailing address phone:** (661) 665-0505
- **Mailing address fax:** (661) 665-7844

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | A41757 | CA | Yes |

## Other

- **Enumeration date:** 11/23/2010
- **Last updated:** 11/23/2010