Healthcare Provider Details

I. General information

NPI: 1598566820
Provider Name (Legal Business Name): MARIA EMILIA ESPINOZA MIRANDA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/22/2025
Last Update Date: 03/22/2025
Certification Date: 03/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1411 E 31ST ST
OAKLAND CA
94602-1018
US

IV. Provider business mailing address

24933 JORDAN LN
PLAINFIELD IL
60544-7466
US

V. Phone/Fax

Practice location:
  • Phone: 510-437-4800
  • Fax: 510-535-7313
Mailing address:
  • Phone: 630-400-9686
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: