Individual ProviderSean MirandaPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address200 N Robertson Blvd Ste 301, Beverly Hills, CA 90211-6001(310) 273-8256PECOS EnrollmentBased on the most recent information from CMS, provider Sean Miranda does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1558135434Provider TypeIndividualFull NameMiranda, SeanGenderMaleSole ProprietorYesEnumeration Date11/10/2023Last Updated11/10/2023Contact InformationPractice LocationPractice Address200 N Robertson Blvd Ste 301, Beverly Hills, CA 90211-6001Phone(310) 273-8256FaxUnlisted FaxMailing LocationMailing Address200 N Robertson Blvd Ste 301, Beverly Hills, CA 90211-6001Phone(310) 273-8256FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense305158California