Most Relevant Information
Provider Data
| NPI Number: | 1003399551 |
| Provider Name: | DARREL MARTIN MIRANDA |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/11/2018 |
| Last Updated: | 05/18/2023 |
Provider Practice Location
8330 RESEDA BLVD
NORTHRIDGE
CA
913244619
Practice Location Phone/Fax
| Phone: | 8189961051 |
| Fax: |
Provider Mailing Location
19609 SHERMAN WAY APT 203
RESEDA
CA
913353430
Provider Mailing Phone/Fax
| Phone: | 8188541263 |
| Fax: |