Individual
DIEGO MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
679 S NEW HAMPSHIRE AVE, LOS ANGELES, CA 90005-1355
(213) 639-2500
Mailing address
11131 CAMARILLO ST APT 4, NORTH HOLLYWOOD, CA 91602-1224
(818) 644-9659
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
277881
CA
Other
Enumeration date
12/31/2024
Last updated
12/31/2024
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