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Individual

DR. EMILIO JOSEPH MIRANDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4700 W SUNSET BLVD, LOS ANGELES, CA 90027-6082
(323) 783-8830
Mailing address
4039 BRANT ST APT D, SAN DIEGO, CA 92103-1953

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A112529
CA

Other

Enumeration date
09/09/2011
Last updated
09/09/2011
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