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

Oscar Omar Carrillo Miranda

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1639096837

Oscar Omar Carrillo Miranda is an Addiction (Substance Use Disorder) Counselor in Mammoth Lakes, California. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

1290 Tavern Rd
Mammoth Lakes, CA 93546-6601
Phone: (760) 924-1740
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1639096837
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 30, 2026
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026

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