Hernandez- Miranda, Oscar

Hernandez- Miranda, Oscar is an individual health care provider with primary practice located at 204 E Beach St , Watsonville CA 95076-4809. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Hernandez- Miranda, Oscar can be contacted via phone (831) 728-0222.

Contact Information

Primary practice address
204 E Beach St Watsonville CA 95076-4809
Phone: (831) 728-0222
Fax: (831) 707-2777
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 88857 California

Profile Details

NPI number 1376824128
LBN Legal business name Hernandez- Miranda, Oscar
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2011
Last updated Sep 26th, 2019 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376824128 NPPES
California Other ZZZ91892Z IN SANTA CRUZ COUNTY MEDICARE GROUP PTAN#

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