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NPI Code Detail

MEDICARE: M.I.R.N.A.A. LLC

MEDICARE: M.I.R.N.A.A. LLC
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
1171W00000XContractor
2174400000XSpecialist
3246YC3301XHospital Based Coding Specialist
4252Y00000XEarly Intervention Provider Agency
5251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1710814157
Entity Type Code : Organization
Provider Name (Legal Business Name) : M.I.R.N.A.A. LLC
Provider Business Mailing Address
First Line : 2019 S VAN NESS AVE
Second Line :
City : SANTA ANA
State : CA
Zip : 92707-3536
Country : US
Telephone Number : 657-669-8576
Fax Number :
Provider Business Practice Location Address
First Line : 2019 S VAN NESS AVE
Second Line :
City : SANTA ANA
State : CA
Zip : 92707-2639
Country : US
Telephone Number : 657-669-8576
Fax Number :
Authorized Official
Title or Position : OWNER/FOUNDER/CEO
Name : MR. FRANCISCO DANIEL BRIZUELA
Credential : BS, ASMA, NCPT4
Telephone Number : 657-669-8576
Provider Enumeration Date : 05/07/2026
Last Update Date : 05/07/2026

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