Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. KELLY MIRANDA, PA-C, MPT
ActiveMS. KELLY MIRANDA, PA-C, MPT is a Physician Assistant healthcare provider located in MORENO VALLEY, California. NPI 1578671558 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · MORENO VALLEY, CA
Registration Details
- NPI Number
- 1578671558
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 29, 2006 (19.938808417151 yrs)
- Last Updated
- Oct 16, 2014
- Licenses
-
PT23425 (CA)52008 (CA)
Practice Information
- Address
-
26520 CACTUS AVEMORENO VALLEY, CA, 925553927Browse CA providers · Browse ZIP 92555
- Phone
- 9514864698
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in MORENO VALLEY, CA
| Name | Credential | NPI |
|---|---|---|
| MR. DOUGLAS GORDON MCCARTY I | PHYSICAN ASSISTANT | 1043315880 |
| SHINAHAZEL AQUINO VALDEZ | — | 1306915350 |
| MR. ROBERT RAY WITTY | PA-C | 1548326028 |
| MRS. MADELENE BROOKS | P.A. | 1629199286 |
| MR. JASON ISONG ALLEN | PA-C | 1891963419 |
| MRS. DIANA KAY LARSON | PAC | 1982868576 |
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.