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 |