Miramontes, Judy

Miramontes, Judy is an individual health care provider with primary practice located at 275 W Herndon Ave , Clovis CA 93612-0204. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Miramontes, Judy can be contacted via phone (559) 324-6200.

Contact Information

Primary practice address
275 W Herndon Ave Clovis CA 93612-0204
Phone: (559) 324-6200
Fax: (559) 324-6280
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G80495 California
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X G80495 California

Profile Details

NPI number 1477534345
LBN Legal business name Miramontes, Judy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Feb 25th, 2020 - about 6 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 1477534345 NPPES
California Other 080085527 RAILROAD MEDICARE
California Other 00G804950 RAILROAD MEDICARE
California MEDICAID 00G804950 RAILROAD MEDICARE
California Other 77040368493612B012 RAILROAD MEDICARE

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