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

Dr. Conrad J R Miranda IV, MD

Individual provider General Practice Physician · NPI 1073554168

Dr. Conrad J R Miranda IV, MD is a General Practice Physician in Northridge, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

9900 Balboa Blvd Ste A
Northridge, CA 91325-5403
Phone: (818) 701-0017
Fax: (818) 701-0073
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence C51139 (CA)

Record details

NPI number1073554168
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 9, 2006
Last updated in NPPESJuly 8, 2007

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