Miranda, Gabriel

Miranda, Gabriel is an sole proprietor health care provider with primary practice located at 34167 Fremont Blvd , Fremont CA 94555-2230. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Miranda, Gabriel can be contacted via phone (510) 790-6315.

Contact Information

Primary practice address
34167 Fremont Blvd Fremont CA 94555-2230
Phone: (510) 790-6315
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A038721 California

Profile Details

NPI number 1952377756
LBN Legal business name Miranda, Gabriel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 23rd, 2006
Last updated Jul 29th, 2010 - about 14 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 1952377756 NPPES
California Other A038721 OTHER PRIVATE INS.PROV.NO
California MEDICAID 00A387212 OTHER PRIVATE INS.PROV.NO
California Other A0387210 OTHER PRIVATE INS.PROV.NO

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