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NPI Code Detail

MEDICARE: MIRIAM M PEGUERO VEGA MSN, RN

MEDICARE: MIRIAM M PEGUERO VEGA MSN, RN
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
1163W00000XRegistered Nurse95432691CA

General Provider Information

NPI Number : 1821955311
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIRIAM M PEGUERO VEGA MSN, RN
Provider Business Mailing Address
First Line : 18646 OXNARD ST
Second Line :
City : TARZANA
State : CA
Zip : 91356-1486
Country : US
Telephone Number : 818-996-1051
Fax Number : 818-337-7156
Provider Business Practice Location Address
First Line : 18646 OXNARD ST
Second Line :
City : TARZANA
State : CA
Zip : 91356-1486
Country : US
Telephone Number : 818-996-1051
Fax Number : 818-337-7156
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2026
Last Update Date : 01/07/2026

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