Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrew Miranda

Individual provider Rehabilitation Practitioner · NPI 1023641784

Andrew Miranda is a Rehabilitation Practitioner in Pasadena, California. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2

Practice location Address checks out

940 Avenue 64
Pasadena, CA 91105-2711
Phone: (323) 543-2800
Fax: (323) 978-1263
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X
Rehabilitation Practitioner Taxonomy 225400000X

Record details

NPI number1023641784
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 20, 2020
Last updated in NPPESMay 28, 2021
Certification dateMay 28, 2021
Mailing address13428 Maxella Ave Ste 913, Marina Del Rey, CA 90292-5620

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