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Individual
MS. JUDY MIRAMONTES
Active
Individual
MS. JUDY MIRAMONTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G80495
CA
207V00000X
Obstetrics & Gynecology Physician
G80495
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G804950
BLUE CROSS/BLUE SHIELD
CA
05
—
00G804950
—
CA
01
—
080085527
RAILROAD MEDICARE
CA
01
—
77040368493612B012
CHAMPUS
CA
Enumeration date
11/08/2005
Last updated
02/25/2020
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