Miranda, Conrad J R

Miranda, Conrad J R is an individual health care provider with primary practice located at 9900 Balboa Blvd Suite A, Northridge CA 91325-5403. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Miranda, Conrad J R can be contacted via phone (818) 701-0017.

Contact Information

Primary practice address
9900 Balboa Blvd Suite A Northridge CA 91325-5403
Phone: (818) 701-0017
Fax: (818) 701-0073
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X C51139 California

Profile Details

NPI number 1073554168
LBN Legal business name Miranda, Conrad J R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1073554168 NPPES
California Other C51139 PHYSICIAN CA LICENSE

Popular Providers