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NPI Code Detail

MEDICARE: MIRANDA FERNANDEZ

MEDICARE: MIRANDA FERNANDEZ
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
1101YP2500XProfessional CounselorAPCC20551CA

General Provider Information

NPI Number : 1184581696
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIRANDA FERNANDEZ
Provider Business Mailing Address
First Line : 2121 W TEMPLE ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90026-4915
Country : US
Telephone Number : 213-385-5100
Fax Number :
Provider Business Practice Location Address
First Line : 2121 W TEMPLE ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90026-4915
Country : US
Telephone Number : 213-385-5100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2026
Last Update Date : 01/10/2026

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Directions to “ MIRANDA FERNANDEZ ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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