MEDICARE: GEORGE GUINTO MIRANDA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0003X	Hematology & Oncology Physician	6022199-1205	UT
2	207RH0003X	Hematology & Oncology Physician	A106771	CA

General Provider Information

NPI Number	:	1558545038
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEORGE GUINTO MIRANDA MD

Provider Business Mailing Address
First Line	:	26691 PLAZA
Second Line	:	SUITE 200
City	:	MISSION VIEJO
State	:	CA
Zip	:	92691-8582
Country	:	US
Telephone Number	:	949-347-0600
Fax Number	:	949-347-0746

Provider Business Practice Location Address
First Line	:	26691 PLAZA
Second Line	:	STE 200
City	:	MISSION VIEJO
State	:	CA
Zip	:	92691-8582
Country	:	US
Telephone Number	:	949-347-0600
Fax Number	:	949-347-0746

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/20/2007
Last Update Date	:	03/07/2023

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Directions to “ GEORGE GUINTO MIRANDA MD” Practice Location

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