Healthcare Provider Details

I. General information

NPI: 1831894781
Provider Name (Legal Business Name): APRIL KRISTINE MIGUEL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2023
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9961 SIERRA AVE
FONTANA CA
92335-6720
US

IV. Provider business mailing address

789 E COOLEY DR
COLTON CA
92324-4007
US

V. Phone/Fax

Practice location:
  • Phone: 909-427-6960
  • Fax:
Mailing address:
  • Phone: 833-574-2273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA208594
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: