Provider Demographics
NPI:1508108333
Name:NAYLOR, MIRANDA LEIGH (DO)
Entity Type:Individual
Prefix:
First Name:MIRANDA
Middle Name:LEIGH
Last Name:NAYLOR
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:18200 YORBA LINDA BLVD
Mailing Address - Street 2:SUITE 401
Mailing Address - City:YORBA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92886-4056
Mailing Address - Country:US
Mailing Address - Phone:714-646-8000
Mailing Address - Fax:714-572-2562
Practice Address - Street 1:333 THALIA ST
Practice Address - Street 2:
Practice Address - City:LAGUNA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92651-2713
Practice Address - Country:US
Practice Address - Phone:714-577-6031
Practice Address - Fax:714-572-2562
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-19
Last Update Date:2016-07-22
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Provider Licenses
StateLicense IDTaxonomies
CA20A14096207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine