Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANTONI A MIRANDA, CHW
Active Sole ProprietorANTONI A MIRANDA, CHW is a Community Health Worker healthcare provider located in LAKE ELSINORE, California. NPI 1013775766 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · LAKE ELSINORE, CA
Registration Details
- NPI Number
- 1013775766
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 7, 2024 (2.2543287463512 yrs)
- Last Updated
- Mar 7, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
31739 RIVERSIDE DR STE A1LAKE ELSINORE, CA, 925307818Browse CA providers · Browse ZIP 92530
- Phone
- 9512450505
- Fax
- 9512450999
- Primary Specialty
-
Community Health Worker
172V00000X
Other Community Health Worker Providers in LAKE ELSINORE, CA
| Name | Credential | NPI |
|---|---|---|
| JARED MILLER | RADT | 1205556362 |
| MICHELLE JUANENGO | — | 1558046151 |
| LA'SHANAE ANNETTE MASON | — | 1265219950 |
| JEANNA MARIE OGLE | — | 1710741822 |
| AMANDA ARIEL SALGADO | — | 1588429989 |
| JESSICA KENNEDY | — | 1083467856 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.