Individual
DR. MIRIAM ANDRADE STAUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4164 BROCKTON AVE, RIVERSIDE, CA 92501-3400
(951) 683-5193
Mailing address
4164 BROCKTON AVE, RIVERSIDE, CA 92501-3400
(951) 683-5193
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0629230
FL
2084P0800X
Psychiatry Physician
A53534
CA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
A53534
CA
2084P0804X
Child & Adolescent Psychiatry Physician
ME147285
FL
Other
Enumeration date
09/21/2011
Last updated
09/16/2025
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