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

Krystal Marie Miranda, IDC

Individual provider Independent Duty Corpsman · NPI 1093377749

Krystal Marie Miranda, IDC is an Independent Duty Corpsman in San Diego, California. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

14 34101 Farenholt Ave
San Diego, CA 92134-0001
Phone: (619) 532-7968
Show map & directions

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

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1093377749
Entity typeIndividual (Type 1)
GenderFemale
Credentials IDC
Sole proprietorNo
NPI enumeratedJuly 2, 2019
Last updated in NPPESJuly 2, 2019

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