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Contact Information

FIDEL O MIRALLES SR
4660 LA JOLLA VILLAGE DR STE 100-200
SAN DIEGO, CA92122-4601
 Phone: 619-253-8951
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Driver

172A00000X
 

Patient Transport

2278P4000X
 

Patient Transport

2279P4000X
Indicates primary specialty

NPI Profile & details for FIDEL O MIRALLES SR · (Male)

NPI # 1063191021
Status Active
Credentials
Entity Individual
Enumeration date 07/17/2023
Last updated 07/19/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 5403693
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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