MIRIAM MARITZA MUNOZ
NPI 1104463108
Peer Specialist in Lakeside, CA

Active since December 09, 2019
12349 LAKESHORE DR APT 4, LAKESIDE, CA 92040(619) 618-6115 Get Directions Write a Review

NPPES record last updated: November 7, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 7, 2023, Dec 9, 2019 (2 updates tracked since 2019).

  • Individual
  • Female
  • Peer Specialist

About MIRIAM MUNOZ

This page provides the complete NPI Profile along with additional information for Miriam Munoz, a provider established in Lakeside, California with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1104463108 assigned on December 2019. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1104463108 Verify this NPI
Provider Name
MIRIAM MARITZA MUNOZ
Gender
Female
Entity Type
Individual
Location Address
12349 LAKESHORE DR APT 4 LAKESIDE, CA 92040
Location Phone
(619) 618-6115
Mailing Address
12349 LAKESHORE DR APT 4 LAKESIDE, CA 92040
Mailing Phone
(619) 618-6115
Is Sole Proprietor?
Yes
Enumeration Date
12-09-2019
Last Update Date
11-07-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Peer Specialist

Taxonomy Code
175T00000X
Type
Other Service Providers
License State
CA
Taxonomy Description
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104463108, enumerated as an "individual" on December 09, 2019.

The provider is located at 12349 LAKESHORE DR APT 4 LAKESIDE, CA 92040 and the phone number is (619) 618-6115.

Peer Specialist with taxonomy code 175T00000X.