Organization
EDWARD P. MIRANDA MD A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD MIRANDA M.D. (PRESIDENT)
(415) 379-9015
Entity
Organization
Contact information
Practice address
77 VAN NESS AVENUE, SUITE 302, SAN FRANCISCO, CA 94102
(415) 379-9015
(415) 379-9045
Mailing address
77 VAN NESS AVENUE, SUITE 302, SAN FRANCISCO, CA 94102
(415) 379-9015
(415) 379-9045
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A82349
CA
Other
Enumeration date
01/08/2008
Last updated
01/10/2012
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