Elizabeth Antonio Miranda
Vascular Surgeon
1520 San Pablo St Ste 4300
Los Angeles
, California 90033
Elizabeth Antonio Miranda
Vascular Surgeon
1520 San Pablo St Ste 4300
Los Angeles
, California 90033
(904) 866-0303
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About
Features
Specialties
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Elizabeth Antonio Miranda
- 1520 San Pablo St Ste 4300
- Los Angeles, CA
- Zip : 90033-5330
- Phone : (904) 866-0303
Second Address
- Elizabeth Antonio Miranda
- 1520 San Pablo St Ste 4300
- Los Angeles, CA
- Zip : 90033
- Phone : (323) 442-5755
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0129X | Vascular Surgeon | A156041 | CA |
National Provider Identifier
| NPI | 1114389483 |
|---|---|
| Provider Name | Elizabeth Antonio Miranda |
| First Address | Los Angeles, CA 90033-5330 |
| Second Address | Los Angeles, CA 90033 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/03/2016 |
| Last Update Date | 24/09/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.