Miranda, Antoni A

Miranda, Antoni A is an sole proprietor health care provider with primary practice located at 31739 Riverside Dr Ste A1 , Lake Elsinore CA 92530-7818. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Miranda, Antoni A can be contacted via phone (951) 245-0505.

Contact Information

Primary practice address
31739 Riverside Dr Ste A1 Lake Elsinore CA 92530-7818
Phone: (951) 245-0505
Fax: (951) 245-0999
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X California

Profile Details

NPI number 1013775766
LBN Legal business name Miranda, Antoni A
Credentials CHW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 7th, 2024
Last updated Mar 7th, 2024 - about 8 months 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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