Individual
ELIZABETH ANTONIO MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH
Contact information
Practice address
1520 SAN PABLO ST STE 4300, LOS ANGELES, CA 90033
(323) 442-5755
Mailing address
1520 SAN PABLO ST STE 4300, LOS ANGELES, CA 90033-5330
(904) 866-0303
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
A156041
CA
Other
Enumeration date
03/24/2016
Last updated
09/24/2018
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