Individual
DR. RAUL MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
272 VICTORIA ST, STE. 2K, COSTA MESA, CA 92627-1974
(949) 646-1631
(949) 548-7475
Mailing address
272 VICTORIA ST, STE. 2K, COSTA MESA, CA 92627-1974
(949) 646-1631
(949) 548-7475
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
A049913
CA
Other
Enumeration date
06/06/2006
Last updated
07/28/2010
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