Search › California › 103K00000X
Oliver Merida Miranda
NPI 1619535358 · on the registry since 2019
Practice
- Address
- 5435 Balboa Blvd
Suite #202
Encinco, CA 91316 - Phone
- (310) 933-4499
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Also registered as
- 106S00000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-08-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California