Dr Conrad J R Miranda Iv, MD in Northridge, CA

Dr Conrad J R Miranda Iv, MD is a General Practice physician based in Northridge, California. Dr Conrad J R Miranda Iv is licensed to practice in California (license number C51139) and his current practice location is 9900 Balboa Blvd, Suite A, Northridge, California. He can be reached at his office (for appointments etc.) via phone at (818) 701-0017.

NPI number for Dr Conrad J R Miranda Iv is 1073554168 and his current mailing address is 9900 Balboa Blvd, Suite A, Northridge, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1073554168.

Contact Information

	Dr Conrad J R Miranda Iv, MD
	9900 Balboa Blvd, Suite A, Northridge, CA 91325-5403
	(818) 701-0017
	(818) 701-0073

Map and Direction

Physician's Profile

Full Name	Dr Conrad J R Miranda Iv
Gender	Male
Speciality	General Practice
Location	9900 Balboa Blvd, Northridge, California
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1073554168
Provider Enumeration Date: 06/09/2006
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Conrad J R Miranda Iv such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073554168	NPI	-	NPPES
C51139	Other	CA	PHYSICIAN CA LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	C51139 (California)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Conrad J R Miranda Iv is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Conrad J R Miranda Iv, MD 9900 Balboa Blvd, Suite A, Northridge, CA 91325-5403 Ph: (818) 701-0017	Dr Conrad J R Miranda Iv, MD 9900 Balboa Blvd, Suite A, Northridge, CA 91325-5403 Ph: (818) 701-0017

Reviews and Comments

General Practice Doctors in Northridge, CA

Dr. Jacob Jay Lorber, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 10453 Yolanda Ave, Northridge, CA 91326 Phone: 818-368-9087 Fax: 818-368-9087
Dr. Kiran P Dua, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 8349 Reseda Blvd, Suite G, Northridge, CA 91324 Phone: 818-886-7322
Dr. Timothy Lee, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 8510 Balboa Blvd, Sutie 150, Northridge, CA 91325 Phone: 818-552-6230
Ashima Sharma, General Practice Medicare: Not Enrolled in Medicare Practice Location: 9650 Zelzah Ave, Northridge, CA 91325 Phone: 818-993-9311
Dr. Lee Richard Brautman, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 18111 Nordhoff St, Northridge, CA 91330 Phone: 818-677-3666 Fax: 818-677-2304

Dr Conrad J R Miranda Iv, MD - General Practice in Northridge, CA