NPI | 1033131933 |
---|---|
Former Legal Business Name | KENNETH J MILLER MD INC |
Doing Business As | PENINSULA EYECARE MEDICAL ASSOC |
Entity Type | Organization |
Authorized Contact | KENNETH JOEL MILLER President 310-547-9991 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology |
Enumeration Date | 2006-07-23 |
Last Update Date | 2024-04-24 |