DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. RAUL MIRANDA, MD

Active Sole Proprietor

DR. RAUL MIRANDA, MD is a Adolescent Medicine healthcare provider located in COSTA MESA, California. NPI 1407895006 is currently active in the NPPES registry. Verify at CMS.

Adolescent Medicine · COSTA MESA, CA

Registration Details

NPI Number
1407895006
Provider Type
Individual
Gender
Male
NPI Issued
Jun 6, 2006 (20.200055884534 yrs)
Last Updated
Jul 28, 2010
License
A049913 (CA)
Sole Proprietor
Yes

Practice Information

Address
272 VICTORIA ST
STE. 2K
COSTA MESA, CA, 926271974
Browse CA providers · Browse ZIP 92627
Phone
9496461631
Fax
9495487475
Primary Specialty
Adolescent Medicine
207QA0505X

Other Adolescent Medicine Providers in COSTA MESA, CA

Name Credential NPI
DR. CECILIA T PHAM DO 1962031294
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.