DR. Conrad J R Miranda IV, M.D.

NPI #1073554168 in Northridge, California

Provider Information

NPI Number: 1073554168
Entity Type: Individual
Name: DR. Conrad J R Miranda IV, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: General Practice
Credential: M.D.
Enumeration Date: Jun 9, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 9900 BALBOA BLVD
Address 2: SUITE A
City: Northridge
State: California
ZIP Code: 91325-5403
Phone: (818) 701-0017

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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