| NPI | 1497788681 |
|---|---|
| Other Name | GREGORY MILLER, M.D., PRESIDENT |
| Entity Type | Organization |
| Authorized Contact | GREGORY EDWARD MILLER President 626-796-3153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA G16108) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A82969) |
| 174400000X Specialist (Licence: CA G9851) | |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2020-08-22 |