Healthcare Provider Details

I. General information

NPI: 1205415825
Provider Name (Legal Business Name): ALONDRA MIRANDA QUIROZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALONDRA MIRANDA

II. Dates (important events)

Enumeration Date: 04/02/2021
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

999 E WILLOW ST
SIGNAL HILL CA
90755-2738
US

IV. Provider business mailing address

2550 N HOLLYWOOD WAY STE 301
BURBANK CA
91505-5025
US

V. Phone/Fax

Practice location:
  • Phone: 866-727-8274
  • Fax:
Mailing address:
  • Phone: 866-727-8274
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: