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DR. CONRAD J R MIRANDA IV M.D.
NPI 1073554168
General Practice in Northridge, CA

Active since June 09, 2006
9900 BALBOA BLVD, SUITE A, NORTHRIDGE, CA 91325(818) 701-0017(818) 701-0073 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Conrad J R Miranda Iv M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CONRAD J R MIRANDA IV M.D. (NPI 1073554168) is an individual general practice provider in Northridge, California, licensed in California (C51139) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1073554168
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. CONRAD J R MIRANDA IVCredential: M.D.
Location Address9900 BALBOA BLVD, SUITE ANorthridge, CA 91325-5403
Mailing Address9900 Balboa Blvd, Suite ANorthridge, CA 91325-5403 · (818) 701-0017 · Fax (818) 701-0073
Phone(818) 701-0017
Fax(818) 701-0073
Sole ProprietorNo
Enumeration DateJune 9, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1073554168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · C51139
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
9900 BALBOA BLVD, Northridge, CA 91325
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Other Identifiers 2

OtherC51139CA · Physician Ca License
Medicare UPINE00425CA

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEE JONG L CHOI L.AC
Physician Assistant
9900 BALBOA BLVD, SUITE A
NORTHRIDGE, CA 91325
Los Angeles County (818) 701-0017
BALBOA MEDICAL & WELLNESS CENTER,INC.
General Practice
9900 BALBOA BLVD, SUITE E
NORTHRIDGE, CA 91325
Los Angeles County (818) 701-0017
RAEESY MD INC
Internal Medicine
9900 BALBOA BLVD, SUITE A
NORTHRIDGE, CA 91325
Los Angeles County (818) 701-0017
GREAT SPIRIT MEDICAL GROUP,INC
Family Medicine
9900 BALBOA BLVD, SUITE A
NORTHRIDGE, CA 91325
Los Angeles County (818) 701-0017
MRS. LIDIA MENDOZA
Massage Therapist
9900 BALBOA BLVD, SUITE B
NORTHRIDGE, CA 91325
Los Angeles County (818) 701-7070
MRS. KHATUL ANDKHOY LAC
Acupuncturist
9900 BALBOA BLVD, SUITE B
NORTHRIDGE, CA 91325
Los Angeles County (818) 701-7070
VALLEY INTEGRATED HEALTH CARE SERVICE
Specialist
9900 BALBOA BLVD, SUITE A
NORTHRIDGE, CA 91325
Los Angeles County (818) 701-8771
NORTHRIDGE PHYSICAL THERAPY CENTER,INC
Physical Therapist
9900 BALBOA BLVD, SUITE C
NORTHRIDGE, CA 91325
Los Angeles County (818) 701-8768

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Conrad Miranda's NPI number?

The NPI number for Conrad Miranda is 1073554168. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is Conrad Miranda located?

Conrad Miranda practices at 9900 Balboa Blvd Suite A, Northridge, CA 91325. The listed phone number is (818) 701-0017.

What is Conrad Miranda's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Conrad Miranda was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.