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

Brandon Di Miceli, ACNP-AG

Individual provider Trauma Surgery Physician · NPI 1477365526

Brandon Di Miceli, ACNP-AG is a Trauma Surgery Physician in Long Beach, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

2801 Atlantic Ave
Long Beach, CA 90806-1701
Phone: (916) 694-7108
Show map & directions

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

Specialties & licences

Trauma Surgery Physician (primary) Taxonomy 2086S0127X · Licence 95033594 (CA)

Record details

NPI number1477365526
Entity typeIndividual (Type 1)
GenderMale
Credentials ACNP-AG
Sole proprietorYes
NPI enumeratedJanuary 24, 2025
Last updated in NPPESJanuary 24, 2025
Certification dateJanuary 24, 2025

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