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Organization
JOSE MIRANDA MD INC.
Active
Organization
JOSE MIRANDA MD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE MIRANDA M.D. (OWNER)
(714) 939-7500
Entity
Organization
Contact information
Practice address
12665 GARDEN GROVE BLVD, #301, GARDEN GROVE, CA 92843-1901
(714) 939-7500
Mailing address
PO BOX 571470, SALT LAKE CITY, UT 84157-1470
(310) 388-9012
(310) 388-9013
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/22/2009
Last updated
06/22/2009
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